Please fill in the form in doc or rtf format and do not add o eliminate cells, columns or lines.

1.	PERSONAL AND ACADEMIC DATA:
Name		
Surname		
Matriculation		
University e-mail		
Degree course		

2.	APPLYING FOR COMPENSATORY TOOLS

LIST	SELECTION	NOTES BY THE RECTOR’S DELEGATE (DO NOT FILL IN THIS SECTION)	
Request for additional time beyond that normally allowed for written exams			
Required to use non-discursive conceptual maps with key words/images/diagrams			
Request to take the exam in oral mode			
Request to take the exam in oral mode with questions involving short answers
			
Request for texts in electronic format from the Publishing House