ࡱ> TVSg bjbjJJ N(ub(ub 444444hhhh,hj@pbdddddd$M!$`444))) 44b)b))fP~ ,.~N0,c$fc$c$4))c$ B : CONFIDENTIAL FORM DAF2 Queens University Belfast Appeal to a Student Discipline Appeals Committee If you decide to request an appeal against the decision of a Committee of Discipline under the Universitys Conduct Regulations, this form should be completed within ten working days of the date of the written communication stating the decision of the Committee of Discipline. Please send the form to Academic Affairs, Level 6, Administration Building, Queens University Belfast, BT7 1NN or by email to  HYPERLINK "mailto:appeals@qub.ac.uk" appeals@qub.ac.uk . Please read our HYPERLINK "http://www.qub.ac.uk/directorates/AcademicStudentAffairs/AcademicAffairs/GeneralRegulations/ConductRegulations/"Conduct Regulations which include the procedures on appealing the decision of a Committee of Discipline. Advice on completion of the form and information on the appeals procedure can be obtained from HYPERLINK "http://www.qubsu.org/AdviceSU/"Advice SU ( HYPERLINK "mailto:studentadvice@qub.ac.uk" studentadvice@qub.ac.uk). All sections of this form must be completed. It is your responsibility to ensure that all the supporting evidence which you wish the SDAC to consider is attached to this form as the SDAC will consider your appeal on the written documentation. Academic Affairs will acknowledge receipt of the appeal and you will be invited to attend a meeting of a Student Discipline Appeals Committee to present your appeal. Full Name: Student Number: School: Programme of Study: Year of Study (i.e., Year 1, 2,etc) Address for Correspondence: Tel no:Mobile no: E-mail:  Please state the decision against which you are appealing: Please note: you should attach a copy of the letter from the Committee of Discipline setting out the decision you wish to challenge.Date of the original incident: Date of the Committee of Discipline: Grounds of AppealPlease consider carefully the ground(s) on which you wish to lodge an appeal and indicate as appropriate. An appeal will NOT be considered unless it is made on one of the permissible grounds as follows: New evidence has become available which could not have been provided to the Committee of Discipline. There has been a procedural irregularity in the conduct of the investigation or the Committee of Discipline proceedings which had a demonstrable impact on the decision. The decision of the Committee of Discipline was too severe or inappropriate Please give full details of the circumstances relevant to the ground(s) of the appeal. Please continue on a separate sheet if required. Please state the outcome you are seeking from the appeal. Please list the documentation attached in support of your appeal. Please note: all hard copies of supporting documentation submitted will be destroyed within 30 days of the appeal hearing, unless requested to be returned. The information on this form and any supporting evidence submitted by you will be used to consider your appeal and will, therefore, be disclosed to the Student Discipline Appeals Committee. By signing this appeal form you are declaring that you have read and understood the Conduct Regulations and that you consent to this information and supporting evidence being disclosed to the Committee as necessary for consideration of your appeal. If you wish to withdraw consent to any information being disclosed to the Committee, you may do so at any time by sending an email to  HYPERLINK "mailto:appeals@qub.ac.uk" appeals@qub.ac.uk, providing the information has not already been disclosed. By signing this appeal form, you are also confirming that your appeal is a true reflection of your situation. Signed: Date: This appeal must be signed and dated and returned to Academic Affairs, Level 6, Administration Building, Queens University Belfast, BT7 1NN or emailed to  HYPERLINK "mailto:academic-affairs@qub.ac.uk" appeals @qub.ac.uk within ten working days of the date of the written communication of the decision against which you are appealing. :FMXjlL T   ( ) : ; ? 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