Examination Appeals Application Form If a candidate who has received a reply to a formal complaint under the Complaints and Appeals process remains dissatisfied with the findings 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 complaint outcome. 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 Email address Confirm email Please select the examination for which you are submitting an appeal - Select -FFPM Final MCQFFPM Final SOE 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. Grounds for appeal options 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 CAPTCHA Math question 4 + 2 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.