This form must be printed out, filled in, and presented to your instructor along
with the test it applies to, within 7 days of receiving your test grade back.


                 CSC 148H -- Winter 2014: REQUEST TO RE-MARK TEST
                 ================================================


  Student number: ___________________     Lecture section: ___________________


  Last name:      ___________________     Instructor:      ___________________


  First name:     ___________________     


  Email address:  ___________________     


  Test number: ___________     Date of request: ___________________


Concisely, and clearly, state what portion of the test was not
correctly marked.