Appeals Form
In order to lodge your appeal properly with
1) print this page
2) complete the form by providing the requested information
3) either post the form with the accompanying fee to:
or
Email the completed form to: exams@percussionacademy.co.uk
and transfer the fee: Percussion Academy Ltd
Sort code: 201143
Account: 83327132
Barclays Bank
Applicant’s name: ________________________________________________
Candidate’s name: _________________________________________________
Candidate’s address: _______________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
Candidate’s examination I.D. number indicated on the report form: _________________________________
The examination taken, including grade: ______________________________________
Date of the examination as printed on the certificate or report form: __________________________________________________
The Centre at which the exam was taken or ‘Recorded’: ___________________________________________
A brief description of the grounds of the appeal:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Signed: _______________________________________________________________
(The candidate, or the candidate’s parent or guardian)
Please attach any detailed description of the appeal to this form, together with a copy of the examination report form and any other documents you feel are helpful to your appeal.