Candidate Assessment Appeal Form

Qualifications Scotland at Siam University

International College, Siam University, 38 Petkasem Road, Phasi Charoen, Bangkok 10160, Thailand

+66 2 867 8088 ext. 5500 / 5217 · Approved Centre No. 3029864

Candidate Assessment Appeal Form

Section A – Candidate Information

Student Name *

Student ID Number *

Programme (ADVANCED CERTIFICATE/ADVANCED DIPLOMA) *

Unit Title *

Assessment Title/Number *

Assessor Name *

Date Assessment Result Received *

Section B – Grounds for Appeal

(Please tick the appropriate box)

Assessment criteria were applied incorrectly

Evidence submitted was not fully considered

Administrative error in recording results

Assessment procedures were not followed correctly

Feedback provided does not justify the assessment decision

Other (please specify)

Section C – Details of Appeal

Please clearly explain the reason for your appeal. *

(Attach additional pages or supporting documents if necessary — contact the Centre Coordinator to arrange this.)

Section D – Candidate Declaration

I confirm that the information provided in this appeal is accurate and that I have first discussed the assessment decision with the assessor (Stage 1 of the Appeals Procedure). *