Extension Request Form

Extension Request Form

The length of extension will adhere to the awarding university regulations.

Student Name (required)

Student ID Number(required)

Module Number and title (required)

Course Leader (required)

Original due date (required)

Extension requested (days) (required)

Date extension form completed (required)

Section B: Nature of Claim/Details of Circumstances

Please write a short statement outlining the nature of the extension request, e.g. short-term illness, caring for a sick relative or unexpected personal difficulties etc. If the circumstances are confidential, full details need not be here but may be submitted in a confidential email to your Course Leader.