Missed Assessment Request Form
Provide your details and proof to request a make-up assessment. Expect confirmation upon approval.
Full Name
*
First Name
Last Name
Students Phone Number
*
-
Country Code
Number
Students Email Address
*
example@example.com
Courses Missed
*
Year of Study
*
Please Select
1st Year
2nd Year
Class
*
Morning
Evening
Assessments Missed
*
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next
( X )
Assignment
250.00 ZMK
250.00
ZMK
Quantity
1
2
3
4
5
6
7
8
9
10
Examination
200.00 ZMK
200.00
ZMK
Quantity
1
2
3
4
5
6
7
8
9
10
Quiz
50.00 ZMK
50.00
ZMK
Quantity
1
2
3
4
5
6
7
8
9
10
Upload Proof of Payment
*
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