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APPLICATION FORM FOR SPECIAL EXAM ARRANGEMENTS

|Please note that: |

|No examination arrangement for extra time and/or oral examinations will be processed without this form being completed by the medical |

|practitioner. A detailed report on the extent of the disability/special need of the student with a motivation on the special exam arrangement |

|needs to be submitted. |

|NAME | |

|STUDENT NUMBER | |

|CONTACT NUMBER (Student’s) | |

KINDLY FAMILIRIASE YOURSELVES WITH THE REQUIREMENTS FOR ONLINE EXAMINATIONS AND AIDS WHICH MAY ASSIST STUDENTS WITH DISABILITIES/SPECIAL NEEDS:

1. REQUIREMENTS AND AIDS (WHERE APPLICABLE):

a. At home with own laptop/computer.

b. Internet access required.

c. Acrobat Adobe Reader to access PDF documents/download Question papers in PDF Format.

d. Software programs such as NVDA screen reader (free, open source) to translate visual information verbally, or Zoom Text Magnifier and Screen Reader for visually impaired students.

e. Daisy and Dragon Speech software to listen to the questions for blind students.

f. Answers can be recorded (students who previously recorded their answers) making use of Microsoft Office Word by opening a blank document and Click on “Dictate” at the far-right corner (not applicable to Macintosh computers).

g. Solutions for learning disabilities such as Dragon Naturally Speaking, Read and Write Gold.

2. WHICH OF THE FOLLOWING SPECIAL ASSESSMENT ARRANGEMENTS DOES THE STUDENT REQUIRE FOR EXAMINATIONS?

|EXTRA TIME |ORAL EXAMINATIONS VIA ONLINE PLATFORMS SUCH AS MICROSOFT TEAMS |

TO BE COMPLETED BY THE MEDICAL PRACTITIONER IN RESPECT OF EXTRA TIME

|IS THE DISABILITY PERMANENT? YES/ NO |

|PLEASE GIVE A BRIEF MOTIVATION WHY SPECIAL EXAMINATION ARRANGEMENTS ARE INDEED NECESSARY FOR THE STUDENT: |

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Doctor’s signature…………………………………..

Date and stamp

On completion of this form, the student must send it to:

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|Email: examdisabled@unisa.ac.za |

|Contact number: Ms. Carol Bafedi 012 429 2251 |

|Ms Virgi Bila 012 429 3622 |

|Ms Desirè Kitching 012 429-2174 |

*Extra time must be motivated by means of a medical certificate/report issued by a medical physician/psychiatrist/phycologist/occupational therapist registered with the Health Professions Council of South Africa (HPCSA).

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