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Grievance Form - Singapore College of Insurance Limited

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SINGAPORE COLLEGE OF INSURANCE<br />

Diploma In Life <strong>Insurance</strong><br />

(DLI) – Self-Study<br />

GRIEVANCE FORM<br />

(UNDER SCI-STUDENT CONTRACT CLAUSE 4.2)<br />

TO:<br />

<strong>Singapore</strong> <strong>College</strong> <strong>of</strong> <strong>Insurance</strong><br />

9 Temasek Boulevard , #14-01/02/03 Suntec Tower Two, <strong>Singapore</strong> 038989<br />

I - CANDIDATE’S PARTICULARS<br />

FROM: Candidate’s Name: Mr / Ms _____________________________________________________________<br />

NRIC / Valid Passport Number: ______________________ Contact Number: _____________________<br />

E-mail Address: ______________________________________________________________________<br />

Mailing Address: _____________________________________________________________________<br />

II - EXAMINATION DETAILS<br />

[Please tick beside the module(s) which you are appealing against.]<br />

Tick Module Title Date Of Examination Taken<br />

DLI01 Individual Life <strong>Insurance</strong><br />

DLI02<br />

DLI03<br />

DLI04<br />

DLI05<br />

Risk Management, <strong>Insurance</strong> & Retirement Planning<br />

Life <strong>Insurance</strong> Law<br />

Life <strong>Insurance</strong> Company Operations<br />

Financial Planning: Process & Environment<br />

III - REPORT OF GRIEVANCE<br />

A grievance has arisen between me and the SCI on a matter relating to the examination conduct in accordance<br />

with the SCI’s <strong>Grievance</strong> Procedure.<br />

I understand that the principal grounds for grievance must arise from the irregularities in the conduct <strong>of</strong> an<br />

examination.<br />

I also understand that the following circumstances are strictly not accepted as grounds for grievance:<br />

(1) Claims <strong>of</strong> being unaware <strong>of</strong>, or not reading and / or understanding <strong>of</strong> the Examination Rules & Regulations as<br />

specified in the SCI Website; and<br />

(2) Request for further review <strong>of</strong> marking <strong>of</strong> the candidate’s answer script.<br />

Page 1 <strong>of</strong> 2


IV - GRIEVANCE DETAILS<br />

(Please write clearly and neatly, and in full about the grievance.)<br />

REDRESS DETAILS<br />

(Please state clearly and neatly on the outcome that you wish to achieve.)<br />

CANDIDATE’S DECLARATION<br />

I hereby declare that all the information and particulars provided by me in this <strong>Form</strong> are true and correct.<br />

Candidate’s Signature: ___________________________________ Date: _____________________________<br />

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