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\nBefore completing this form you should read all the guidance for submissions on the Extenuating Circumstances webpage.  \nPlease fully complete all sections of this form (A-G) before submission, including signature, dates and evidence.  \nOnce you have uploaded all the required documents, the extenuating circumstances panel will review your case based on the information you have provided and may request additional information where necessary.  \n\n| A. Personal details\u003Cbr>Surname: First name(s):\u003Cbr>UCAS Personal ID: Date of birth (DD/MM/YYYY):\u003Cbr>Programme(s) applied to*:\u003Cbr>* Please list all the courses to which you have applied at the University of Bristol. |  |  |  |\n| --- | --- | --- | --- |\n| B. Nature of extenuating circumstances\u003Cbr>☐ Physical/Mental Health ☐ Bereavement\u003Cbr>☐ Social/Personal/ Victim of a crime ☐ Other:   |  |  |  |\n| C. Reason for declaring Extenuating Circumstances:\u003Cbr>Please tick which ONE of the following boxes is most applicable to you.\u003Cbr>☐ I believe my extenuating circumstances may affect my upcoming exams, as detailed in Section D & E. OR\u003Cbr>☐ I have already completed my qualifications and can provide my final grades, but I believe my extenuating circumstances affected my academic performance, as detailed in Section D & E.\u003Cbr>OR\u003Cbr>☐ I believe my extenuating circumstances directly affected my ability to sit/complete an admissions test (eg. UCAT, LNAT, Maths test, University of Bristol Supplementary Assessment Questionnaire), as detailed in Section D & E |  |  |  |\n| D. Please list the qualifications/examinations that have been (or are likely to be) affected: |  |  |  |\n|  | Module title, year of study and qualification | Date of exam |  |\n|  | E.g., GCSEs and/orA Levels | E.g., 21st May 2023 |  |\n\n\n|  |  |  |  |\n| --- | --- | --- | --- |\n| E. Applicant statement\u003Cbr>Please use this section to tell us more about the circumstances you wish us to consider. Please include:\u003Cbr>o what happened;\u003Cbr>o when it happened and whether it is ongoing;\u003Cbr>o how it affected you;\u003Cbr>o how it affected your education and/or exams. |  |  |  |\n\n\n|  |\n| --- |\n| F. Supporting Documentation (refer to the guidance on Extenuating Circumstances webpage)\u003Cbr>All forms must be submitted with supporting documentation from an appropriate third party corroborating the information in the applicant statement. (English translations of documents must be provided where necessary) .\u003Cbr>Please briefly outline here what documents you have included. |\n| G. Applicant declaration\u003Cbr>I agree to all of the following statements: |\n\ni I confirm that the above statement is a complete and accurate record, and that no relevant information has been knowingly omitted.  \nii I consent to the storage of this information by the University of Bristol for the purposes of evaluating the application submitted by the aforementioned applicant.  \niii Any information I provide may be shared with the relevant faculty/department or student support services, should I enrol as a student at the University of Bristol. *  \niv I understand that completing this form does not guarantee a particular outcome from the admissions team.  \nSignature: Date:  \n*All personal information supplied on this form will be held in accordance with the Data Protection Act 2018  \nOnce fully completed, this form and any additional documents should be uploaded to your online applicant dashboard. Details on how to access your dashboard can be found in the acknowledgement email sent by us on submission of your UCAS application.","cbCaitmwV7aTkP2d","https://ap.wps.com/l/cbCaitmwV7aTkP2d","pdf",297807,"English","# Personal details\n# Nature of extenuating circumstances\n# Reason for declaring extenuating circumstances\n# Qualifications/examinations affected\n# Applicant statement\n# Supporting documentation\n# Applicant declaration","[{\"question\":\"What information must be completed before submitting the University of Bristol extenuating circumstances form?\",\"answer\":\"Applicants must fully complete all sections A–G, including signature, dates, and evidence, before submission.\"},{\"question\":\"How should applicants describe their extenuating circumstances?\",\"answer\":\"They should provide details on what happened, when it occurred and whether it is ongoing, how it affected them, and how it affected education and/or exams.\"},{\"question\":\"What supporting documentation is required?\",\"answer\":\"The form must be submitted with supporting documentation from an appropriate third party that corroborates the applicant statement, including English translations when necessary.\"}]","University of Bristol Extenuating Circumstances Form | PDF",1789739068]