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MOMI exemption form 2024-2025
First and Last name
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Studentnumber
*
Study programme
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How many credits (ECTS) have you obtained in this academic year?
Reason of your request (
please note
: in case you have already received an exemption before, it is not allowed to use the same reason again).
*
illness
physical or sensory impairment or other functional disorder
pregnancy
exceptional family circumstances
board duties
the inability to study
Please motivate the reason why you are not able to obtain the necessary credits this academic year (50% of the yearly ECTS).
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Have you been in contact with an academic advisor about this? (If 'no', please step by at one of their consultation hours or schedule an appointment
here
).
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No
Yes
Please add any documents that support your circumstances if you have any (doctors appointments, signed document by a psychologists etc.).
*
=
Input is required