Examination Appeals Application Form

If a candidate who has received a reply under Regulation 12.d remains dissatisfied with the findings of the Director and wishes to challenge the points set out in the decision letter, he/she may submit an Appeal using the application form below.

All requests to appeal an exam must be submitted within 30 calendar days of the publication of the results of an examination component. The appeal must state the grounds for appeal, provide supporting evidence, and state the desired outcome.

Personal details

First Name(s)

Last Name

College Reference Number (CRN)

GMC Number

Email address

Please select the examination for which you are submitting an appeal

What date did you sit this exam?

Grounds for Appeal

Please select the grounds on which you are appealing this exam. Check one or both of the options as required.

Please note, appeals will not be accepted on any other grounds, for example, that a candidate:

considers their efforts to have been under-marked
failed the examination by a narrow margin
did not understand or was unaware of the Examination Regulations
seeks to question the professional or academic judgement of the examiners
arrived late for an examination, not allowing for the exam to start on time.

Procedural irregularity

Exceptional circumstances

Please provide a comprehensive statement outlining the grounds of your appeal. This should include: the alleged irregularity or unfairness in the assessment process, providing specific details and supporting arguments

Please indicate the desired outcome if the appeal is upheld

Please upload all supporting documentation that strengthens your case. This may include relevant emails, correspondence, or any other material that sheds light on the circumstances surrounding the appeal

Maximum 4 files.
256 MB limit.
Allowed types: rtf, pdf, doc, docx, ppt, pptx, xls, xlsx.

Confidentiality

The information provided in this form, and any additional supporting information that you provide, will be held by the Exams Department at the RCoA in accordance with the General Data Protection Regulation 2016 and Data Protection Act 2018 (C.12).

Outside of this department, it will occasionally be necessary to disclose an appellant’s identity to progress an investigation, and this will be done as a matter of routine should any hearing by an Appeals Panel be necessary. All appeals and supporting evidence will be treated in strict confidence.

The Examination Department or Appeal Panel will only disclose information to relevant parties on a need-to-know basis. The College's Privacy Notice is available to view online.

I confirm I have read and understood the confidentiality statement

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