THE FALLIBROOME ACADEMY REQUEST FOR A POST EXAMINATION SERVICE - GCE 2015

___________________________________________________________________ School Holiday Opening Times for Priority GCE fast track services th

Thursday 13 August : 9am –3pm th

Friday 14 August : 8am – 3pm th

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Monday 17 – Thursday 20 August : 9am – 3pm st

Friday 21 August : 9am – 1pm th

Priority fast track services located upstairs in 6 Form Common Room (F block)

__________________________________________________________________ Examination Board : AQA Name _____________________________________

Subject

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Candidate Number ____________________________ Subject Code __________________________________ Date of Birth _________________________________

Module Title

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Contact Telephone ____________________________ Module Code __________________________________

Services Available (please tick) Clerical check of a marked exam script Copy of a reviewed or clerically checked script Priority access to scripts without a review or clerical check (last date to hand in Friday 21st August) ** Priority review of marking (last date to hand in Friday 21st August) Re-mark of an exam script Re-mark of an exam script (with a photocopy of script) Return of original script (for teaching and learning purposes)

Per module £14.80 £12.85 £12.85

Tick

£46.20 £38.85 £51.70 £10.10 Total

I give my consent for The Fallibroome Academy to make an enquiry about the results of the examination listed above. In giving my consent I understand that the final subject grade awarded to me may be lower than, higher than, or stay the same as the grade, which was originally awarded for this subject and this will be the published mark. Signature of Student _______________________ Signature of Parent/Guardian _____________________ Please make the cheque payable to The Fallibroome Academy and return with the completed form. All priority services must be requested by Friday 21st August at the latest, however AQA recommend you submit your request by Friday 14th August. ** If you have a place pending, please do not ask for a copy of the script first as you will miss the priority re-mark deadline. The deadline for all other service requests is Wednesday 16th September. Regards J Simm