Report form for reporting technical problems, interruption or start up failure in an exam

Fill in this form immediately if your exam has been interrupted or obstructed due to technical problems, interruption or start up failure in an exam or problems in exam class..
Filling this form is required if you wish to renew the exam before grading.

This form cannot be used for cancelling reservations to exams.

Personal information *
Firstname
Surname
University / open university
Student number
Email

Information concerning the exam:

E-exam room: *

The number of computer / place: *

Date and time *
The date of exam
The time of exam
The time of interruption

Name of exam:

The reason for the interruption or obstruction *

I want to renew the exam: