Heriot-Watt University

PART A:
Application for Consideration of Mitigating Circumstances (MC)

Request for medical and/or mitigating personal circumstances to be presented

to the Mitigating Circumstances Committee.
Instructions
PLEASE PRINT CLEARLY USING BLACK INK AND SIGN, OR EDIT USING MICROSOFT
WORD, PRINT AND SIGN.

This application for consideration of mitigating circumstances should be submitted in hard

copy, accompanied by the appropriate evidence (unless submitted previously), to the School
Office in the students home School as soon as possible and ideally within five working days
of the events under consideration for on-campus students, or as agreed by your home School.
All material must be submitted in a sealed envelope marked Mitigating Circumstances Private
and confidential.

You are advised to keep a copy of the completed form for your own records.

Your details
Name AMIR JAMAL

Student Number H00267807

Email amjaqur@gmail.com

Postal Address
Office of Deputy Director Pakhtunkhwa Highways Authority
(East)
House No. 417, Street No. 3
Jinnah Abad, Mandian
ABBOTTABAD, KHYBER PAKHTUNKHWA
Pakistan

Your programme
Degree programme D3K7-CPM-Construction Project Management

Place of study IDL

Mentor Dr Turker Bayrak

Assistant Professor
Heriot-Watt University
Energy, Geoscience, Infrastructure and Society (EGIS)
Centre of Excellence in Sustainable Building Design
Year of study 2017

Period covered by mitigating circumstances

From: 1st November 2017 To: 25th November 2017 (will continue for an
another one month time for taking care of my
father illness)

Courses and Assessments Affected

Course Code Course Title / Assessment Title Dates

PART A: Application for Consideration of Mitigating Circumstances 1/5

Approved by Quality and Standards Committee (QSC), 7 September 2011
Revisions approved by QSC July 2014
D31PZ Contracts and Procurement 1-11-2017 TO 25-11-2017
(will continue for another
one month)
D31PT Project Management Theory and Practice 1-11-2017 TO 25-11-2017
(will continue for another
one month)

PART A: Application for Consideration of Mitigating Circumstances 2/5

Approved by Quality and Standards Committee (QSC), 7 September 2011
Revisions approved by QSC July 2014
Details of mitigating circumstances
Please provide a description of the mitigating circumstances that may have affected your
performance in the above courses or assessments. Please state what aspect/s of the courses
or assessments you feel have been affected.

Please use an additional sheet if necessary.

I recently received the exam diet letter for the december 2017 examinations. Unfortunately,
my father has been a heart patient in past. He started feeling chest pains again during end
days of month of October 2017 and got seriously ill in the start of this November due to
sudden acute cardiac problems. Later he got an heart attack on 6th November 2017 at mid
night. I rushed him to a nearby Hospital names Ayub Medical Comples in my city Abbottabad,
where it was confirmed of the heart attack. It was very fortunate for us that he survived but I
had to immediately get engaged in his care and moving for further detailed diagnostics and
treatment. I shifted him to Islamabad city for better diagnostics and treatment and admitted
him in to Shifa International Hospital in its Shifa Heart Center. The Cardialogost, Dr.
Saeedullah Shah, diagnosed him with having severe heart issues and blockage of main
arteries, after getting done many relevant tests including Angeography. My father was
admitted in ICU of the hospital and the Cardiologist recommended open heart
surgery/Bypass as his treatment. Being a surgery involving high risk and also unwillingness of
my father for the open heart surgery, I shifted him to another hospital in Rawalpindi city
named Quad-e-Azam International Hospital, for second opinion, where the cardiologist named
Dr. Zafar-ul-Islam proposed Angeoplasty procedure for his treatment. I opted for this
Angeoplasty procedure and got his operation done almost twenty days before on 09-11-2017.
He has now been shifted back to home where I am taking care of him as he lives with me. I
was engaged in taking close and intensive care of my father day and night for the last one
and half month and now have to carry out follow-ups with the Hospital every week till the time
of his maximum recovery. Sir, this has badly affected the tempo of my studies and more than
1.5 months have gone wasted. As my father has not yet recovered fully, and I had and have to
devote my maximum time for taking care of him which will further extend for at least aonther
one month until he recovers maximum. It is pretty obvious now that I cannot perform well up
to my actual abilities in prevailing situation in my upcoming exams which are starting on 5th
December 2017. I have got so much mentally and physically disturbed and am badly fearing
of affecting my Grades in these exams. In light of this situation, I want to apply for the
Mitigating circumstances for my upcoming exams for both of my courses of this semester as
mentioned above.
The detailed record of doctors prescriptions, medical reports etc in all the 3 hospitals I
attended are enclosed (21 documents)

Documentary evidence
Please list all the documentation provided in support of your claim. The documentation should
be stapled to this form and submitted in a sealed enveloped marked Mitigating
Circumstances, Private and confidential.
Medical claims should be supported by a medical certificate; other claims should be
supported by appropriate documentation, e.g. police reports, death certificate. For further
guidance refer to the Universitys Mitigating Circumstances Policy
(http://www.hw.ac.uk/committees/ltb/ltb-policies.htm) or to your programme/School Handbook.

Any details of a confidential nature may be placed in a sealed enveloped marked Confidential
for the Chair of the Mitigating Circumstances Committee and securely attached to this form,
which should be submitted to the School Office.
Total No. of Documents (21 No.)
A- Ayub Medical Complex Hospital, Abbottabad documents (2 No.) :
1- Doctors correspondence/prescription
2- Troponin Test Report
B- Shifa International Hospital, Islamabad documents (8 No.):
1- Hospital Admission slip
2- ECHO Test Report
3- Angeography Report (page 1)
4- Angeography Report (page 2)
5- Angeography Video CD image
6- Doctors medicine prescription
7- Hospital Discharge slip
8- Hospital payment slip
PART A: Application for Consideration of Mitigating Circumstances 3/5
Approved by Quality and Standards Committee (QSC), 7 September 2011
Revisions approved by QSC July 2014
 C- Quaid-e-Azam International Hospital Rawalpindin documents (11 No.)
1- Hospital Admission slip
2- Troponin Test Report
3- BNP Test Report
4- Doctors Pre-operation Medicine prescription
5- AngeoPlasty Report (page 1)
6- AngeoPlasty Report (page 2)
7- AngeoPlasty Video CD Image
8- Doctors Post-operation Medicine prescription
9- Hospital Discharge slip
10- Hospital payment slip
11- Two weeks Follow up ECG Report dated 24-11-2017

Your signature
I declare that the information contained in this statement is accurate and complete to the best
of my knowledge. I consent to the information being used by the Mitigating Circumstances
Committee and understand that the information will be treated in the strictest confidence.

Date: 30-11-2017

Signed:

PART A: Application for Consideration of Mitigating Circumstances 4/5

Approved by Quality and Standards Committee (QSC), 7 September 2011
Revisions approved by QSC July 2014
PART B:
Outcome of Application for Consideration of Mitigating Circumstances

To the Student:
Your School will notify you via email if your application has been unsuccessful. Please note
that all email correspondence will be sent to your Heriot-Watt email address and will be
provided as soon as possible following the meeting of the Board of Examiners and publication
of exam results.

Note that decisions 3-6 below, and possibly also 7, indicate an unsuccessful application. For
further information regarding the decision, please contact your School Office.

To the Chair of the Mitigating Circumstances Committee:

As a minimum requirement, the recommendation marked on this form will be shared with the
student following the decision of the Board of Examiners in circumstances where the
application has been unsuccessful (decisions 3-6, possibly also 7).

Recommendation of the Mitigating Circumstances Committee (please circle one: 1-7)

1 The mitigating circumstances presented are sufficient, on the basis of the evidence
provided, to support a change in degree classification or a change in decision
regarding progression. Our recommendation is:

2 In the light of the candidates overall assessment profile, there are sufficient grounds to
conclude that the candidates performance in the relevant assessment/s had been
adversely affected, but not to such a degree as to materially affect the degree
class/award or the progression decision. Our recommendation is:

3 In the light of the candidates overall assessment profile, there are insufficient grounds
to conclude that the candidates performance in the relevant assessment/s would have
been significantly different in the absence of the mitigating circumstances presented.

4 The mitigating circumstances presented are of such a minor nature that they are
unlikely to have influenced the students performance in the relevant assessments.

5 No evidence is presented in support of this application.

6 The circumstances presented are not accepted as justification for special

consideration in accordance with the Mitigating Circumstances Policy:
http://www1.hw.ac.uk/committees/ltb/ltb-policies.htm#M

7 Other (please specify)

Signed: Date:
(Chair of the Mitigating Circumstances Committee)

Name of School:

PART B: Application for Consideration of Mitigating Circumstances 5/5

Approved by Quality and Standards Committee (QSC), 7 September 2011
Revisions approved by QSC, July 2014