ࡱ> z}y [bjbj}} p~   bbbbb4htr9Vp: 9999999$v<(?\99Qb99bb9Rbb9964s7#HJuMR589095??8s7?bs799999? (:  FITNESS TO PRACTISE Appeal Form For appealing the decisions of the Fitness to Practise Committee Section A Please complete this form in full and send to  HYPERLINK "mailto:appeals@essex.ac.uk" appeals@essex.ac.uk  Before you complete this form please read the  HYPERLINK "/-/media/documents/about/governance/procedures-fitness-to-practise.pdf" Fitness to Practise Procedures online. Appeals must be submitted electronically to  HYPERLINK "mailto:appeals@essex.ac.uk" appeals@essex.ac.uk within ten working days of being informed in writing of the decision by the Fitness to Practise Committee. Alternatively, you may print this form, complete it and submit it to the  HYPERLINK "https://www1.essex.ac.uk/students/contact/default.aspx" Student Services Hub. We strongly encourage any student who is thinking about submitting an appeal to seek advice and guidance from HYPERLINK "http://www.essexstudent.com/advice"SU Advice. If you require any further information, please contact the Student Progress Team via the Student Services Hub: Email:  HYPERLINK "mailto:appeals@essex.ac.uk" appeals@essex.ac.uk Telephone: 01206 874000. PRIDStudent Registration Number TitleFirst Name Surname Contact TelephoneContact Email (please use University email address where possible) Correspondence Address Department/ SchoolCourseYear of StudyTier 4 StudentYes&No& What is the decision against which you are appealing? What outcome are you seeking?  Please mark an  X next to the grounds upon which your appeal is based.New evidence is now available, which for good reason was not available to the Fitness to Practise Committee that could have materially affected the outcome&The University did not follow the Fitness to Practice Procedure in a way which disadvantaged your case&Evidence of prejudice and/or bias during the procedures&On the balance of probabilities, the facts of the case do not justify the decision that was reached&The action applied by the Fitness to Practise Committee was disproportionate with regard to all the circumstances of the case, or was not permitted under the Fitness to Practise Procedure& Appeals Statement Please give the reasons for your appeal and any other explanation/information that may be relevant. 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Appropriate evidence may include, but is not limited to: Medical certificate/hospital letter Any relevant correspondence with the University or external organisations An evidence pro-forma from Student Support All evidence will be treated in the strictest of confidence and original documents will be returned to you. Please note that failure to substantiate your appeal with evidence may result in your appeal being dismissed. Please list the documentary evidence you have attached in support of your appeal.  Declaration & Signature By signing this form I declare that the information given in this form is true to the best of my knowledge and I understand that if I have not provided evidence in support of my appeal, it may be dismissed.  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