Personal Extenuating Circumstances Form for Newcastle University London

This Personal Extenuating Circumstances (PEC) form is ONLY for PATHWAY students who are registered students of Newcastle University London.

If you are a HE Student, please complete a PEC request via S3P: https://s3p.ncl.ac.uk/Login/Index.aspx.

Students who believe that their study or ability to complete assessments is being adversely affected by unforeseen and unavoidable personal extenuating circumstances should advise their academic unit by completing this form so that appropriate adjustments can be made. Please ensure that you fill out all sections clearly and add evidence where possible.

Please submit your PEC form with as much time as possible and at least 5 working days before your deadline to give us enough time to consider your request and respond to you promptly before your deadline.

Name * First Last
ID number *
Email *
Programme *
Module code and assessment title *
Module Assessment Details. You must include the module code, assessment title, components and deadline(s)) affected by Personal Extenuating Circumstances *
Please indicate how your studies and assessments have been affected *
Unable to submit my work Submitted my work late Only submitted part of my work Unable to participate in group work Unable to attend my exam(s) or other session(s) Unable to prepare effectively for my examinations Unable to write comfortably in examination conditions Able to work, but feel my performance has been affected Other, please specify below
Affected in the following way NOT listed above
Requested adjustment
N.B. The PEC Committee has the final say about the most appropriate form of adjustment *
Extension (self certified up to 7 days) Extension (evidenced, more than 7 days) Deferral of assessment attempt to next normal occassion of assessment Repeat module/programme with attendance Repeat Stage or Semester at first attempt Be considered for Board of Examiners discretion Late cap penalty consideration Other, Please specify below
Other adjustment (please detail below)
Details of Personal Extenuating Circumstances *
Medical Personal Other
Period affected
From * / MM / DD YYYY
To * / MM / DD YYYY
Impact on study. Please provide clear details of your circumstances *
Supporting documents

Attach Files Attach Files
Supporting documents

Attach Files Attach Files
Supporting documents

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Data Protection Statement

The PEC applications will be accessed by members of the PEC Committee and those administering the PEC process. The information provided will be used to help the PEC Committee determine whether an adjustment is appropriate and should be granted. The information will not be used for any other purpose.

Personal Extenuating Circumstances Form for Newcastle University London

Personal Extenuating Circumstances Form for Newcastle University London

Period affected

Data Protection Statement