School/Institute of XXX

Undergraduate/Postgraduate Subject Examination Board for XXX

Chair’s Action Memorandum

Student: Forename SURNAME (ID number)

Details of request for Chair’s Action

Award	Field of study	Classification	College Mark

Reason why this was not considered by the SEB or DEB

SEB authorisation

Signature of SEB Chair: email approval permitted

Name of SEB Chair:

Date:

DEB authorisation

Signature of DEB Chair: email approval permitted

Name of DEB Chair:

Date:

Director of Governance and Legal Services authorisation

Signature of Director: email approval permitted

Name of Director:

Date: