Grievance Form - Singapore College of Insurance Limited

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Grievance Form - Singapore College of Insurance Limited

SINGAPORE COLLEGE OF INSURANCE

Diploma In Life Insurance

(DLI) – Self-Study

GRIEVANCE FORM

(UNDER SCI-STUDENT CONTRACT CLAUSE 4.2)

TO:

Singapore College of Insurance

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

I - CANDIDATE’S PARTICULARS

FROM: Candidate’s Name: Mr / Ms _____________________________________________________________

NRIC / Valid Passport Number: ______________________ Contact Number: _____________________

E-mail Address: ______________________________________________________________________

Mailing Address: _____________________________________________________________________

II - EXAMINATION DETAILS

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

Tick Module Title Date Of Examination Taken

DLI01 Individual Life Insurance

DLI02

DLI03

DLI04

DLI05

Risk Management, Insurance & Retirement Planning

Life Insurance Law

Life Insurance Company Operations

Financial Planning: Process & Environment

III - REPORT OF GRIEVANCE

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

with the SCI’s Grievance Procedure.

I understand that the principal grounds for grievance must arise from the irregularities in the conduct of an

examination.

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

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

specified in the SCI Website; and

(2) Request for further review of marking of the candidate’s answer script.

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IV - GRIEVANCE DETAILS

(Please write clearly and neatly, and in full about the grievance.)

REDRESS DETAILS

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

CANDIDATE’S DECLARATION

I hereby declare that all the information and particulars provided by me in this Form are true and correct.

Candidate’s Signature: ___________________________________ Date: _____________________________

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