UOWx Review of Claims Form
UOWx Review of Claims Form
Name
Name
*
First
Last
Student Number
*
Contact Number
*
Email
*
Name of Co-Curricular Activity that you would like your claim reviewed for:
*
Role that you undertook in that Co-Curricular Activity (i.e. Mentor, Leader):
*
Year that you undertook that Co-Curricular Activity:
*
Year that you undertook that Co-Curricular Activity:
2017
2018
2019
2020
2021
2022
2023
Hours that are currently appearing on your UOWx Record (please say 0 if activity is not appearing at all on your UOWx Record):
*
Hours that should be appearing on your UOWx Record:
*
Please upload evidence that you undertook those hours (i.e. timesheet, photo of your diary etc).
*
Attach Files
Please provide an explanation of why your hours aren't appearing on your UOWx Record:
*