CONFIDENTIAL

Architecture and Planning

EXTENSION OF TIME APPLICATION

for coursework submission
(for departmental use only)

IMPORTANT NOTES FOR STUDENTS:

* It is the responsibility of the student to ensure this form is completed by the appropriate staff member.
* Students must return the completed and signed form to the Undergraduate (Rm 617) or Postgraduate Student Administrator (Rm 613)
* Failure to follow the steps above may result in your application being declined.
* It is the responsibility of the student to keep a copy of this Application form and submit the coursework by the new date and time.

PERSONAL DETAILS
THIS SECTION MUST BE COMPLETED IN FULL BY THE STUDENT

Last Name:……………………………………………………… First Names: ………………………………………………………………………………………………………

www.creative.auckland.ac.nz

ID No: ……………………………………………………………………………E-mail:……………………………………………………………………………………………………………………

Course Name & Number: …………………………………………………………………………………………………………………………………………………………………………

Course Description:……………………………………………………………………………………………………………………………………………………………………………………

Student's Signature: ……………………………………………………………………………………………………………………………………………………………………………………

Date: ………………………………………………………………………………

THIS SECTION MUST BE COMPLETED IN FULL BY THE STAFF MEMBER WITH APPROVING AUTHORITY
Planning Postgraduate: Lee Beattie (Rm 532)/Undergraduate: Stephen Knight-Lenihan (Rm 609)
Architecture Postgraduate: Michael Davis (Rm 420)/Undergraduate: Course Coordinator
Design courses: Kathy Waghorn (Rm 333)
National Institute of Creative Arts and Industries

Medical Certificate OR other Health Profession Certificate sighted

and returned to student: YES NO (circle one)
I consider the reason for this application, and evidence in support
of it, to be sufficient to make a decision: YES NO (circle one)
Extension Granted: YES NO (circle one)

Comments:……………………………………………………………………………………………………………………………………………………………………………………………………

Name of Staff Member: ……………………………………………………………………………………………………………………………………………………………………………

Signature of Staff Member:………………………………………………………………………………………………………………………………………………………………………

THIS SECTION MUST BE COMPLETED IN FULL BY THE COURSE COORDINATOR

New Date for Submission of Coursework:……………………………………………………………………………………………………………………………………………

Time: ……………………………………….

Name of Staff Member:……………………………………………………………………………………………………………………………………………………………………………

Signature of Staff Member: ……………………………………………………………………………………………………………………………………………………………………

ADMINISTRATIVE USE ONLY: Received on