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* 1. Forename

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* 2. Surname

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* 3. Candidate Number

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* 4. Qualification title e.g. AQA GCSE English
Language

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* 5. Teacher Assessed Grade Issued

Grounds for Centre Review

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* 6. Please tick one or both of the options if they apply to your request. If you don’t think either apply, your centre will still conduct a review for administrative and procedural errors so the awarding organisation can be certain that your grade is as the centre intended.

Supporting Evidence

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* 7. Please provide a short explanation of what you believe went wrong and how you think this has impacted your grade.
There is a 5,000 character limit

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