The information on this form is collected for the primary purpose of maintaining your assignment submission record correctly. Other purposes of collection include ensuring that your assignment is accepted, you receive the marks that you deserve. If you choose not to complete all the questions on this form, it may not be possible for the School to process your form (resulting in possible loss of marks for you) or contact you in the case of a problem. Personal information will be disclosed to no one except Monash staff. You have a right to access personal information that Monash University holds about you, subject to any exceptions in relevant legislation. If you wish to seek access to your personal information or inquire about the handling of your personal information, please contact the University Privacy Officer on 99056011.
SUBJECT CODE: ________________________ SUBJECT: ___________________________________________________________ STUDENT I.D. NO: ________________________ LECTURER: ____________________________________________________________ SURNAME: ___________________________________________ OTHER NAMES: _________________________________________________ EMAIL ADDRESS: __________________________________________________________________________________________________ ASSIGNMENT NO.: ________________________ DUE DATE: ____________________________________________________ REASON FOR EXTENSION: (Attach Medical Certificate or other documentation) DATE SUBMITTED: __________________________________ REQUESTED DUE DATE: ___________________________________________ LECTURER'COMMENTS: APPROVED NEW DATE: ____________________________________________ --- cut --- --- cut --- --- cut --- --- cut --- --- cut --- --- cut --- --- cut --- --- cut --- --- cut ---Part B - Returned to student. Copy to be attached to assignment when submitted to the Enquiries Office.
SUBJECT CODE: _________________________ SUBJECT: ______________________________________________________________ STUDENT ID NO: _________________________ LECTURER: ______________________________________________________________ SURNAME: _________________________________________ OTHER NAMES: ___________________________________________________ ASSIGNMENT NO: ________________________ DUE DATE : _____________________________________________________________ EXTENSION: Granted/Not Granted APPROVED NEW DATE: _______________________________________________________ LECTURER'S SIGNATURE: ____________________________ DATE: _____________________________________________