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(Rev. 7/06) National Registry of Radiation Protection Technologists P.O. Box 3084, Westerly, RI 02891 (401) 6374811 Office Use Only Pd by: Ck #: Amt: ID#: Examination Retake Form Instructions: Type
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How to fill out retake form 4-09:

01
Start by entering your personal information in the designated spaces. This includes your full name, student ID number, contact information, and any other required details.
02
Provide the reason for retaking the exam or assessment. This could be due to a previous failure, a need to improve your score, or any other valid reason as specified by the institution or organization.
03
Indicate the specific exam or assessment you are retaking. Include the title or name of the test, as well as the date and location of the original exam if applicable.
04
If there is an option, choose whether you would like to retake the exam digitally or in a physical format. This may depend on the format options provided by the institution or organization administering the test.
05
If there is an associated fee for retaking the exam, provide payment details. This could include credit card information, a check or money order, or any other accepted method of payment specified by the institution or organization.
06
Review the form for accuracy and completeness. Make sure all necessary information has been provided and that there are no errors or missing details.
07
Sign and date the form at the bottom to indicate your acknowledgment and agreement with the retake policies and procedures.
08
Submit the completed form according to the instructions provided. This could involve mailing it to a specific address, delivering it in person to a designated office, or submitting it electronically through an online portal.

Who needs retake form 4-09:

01
Students who have failed a previous exam and need to retake it to earn a passing grade.
02
Individuals seeking to improve their scores or performance on a specific assessment or test.
03
Candidates who are required to retake an exam as a prerequisite for further education, licensing, or employment opportunities.
04
Participants in professional certification programs or training courses that have specific retake policies in place.
05
Individuals who were unable to attend the original exam and need to reschedule it for a later date.
06
Students who may need to retake an exam due to extenuating circumstances or academic appeals.
07
Anyone who has been given permission or granted a request to retake a specific exam or assessment.
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Retake form 4-09 is a form used to request a retake of an examination or assessment.
Students who wish to retake an examination or assessment are required to file retake form 4-09.
Retake form 4-09 should be filled out with the student's information, the exam or assessment details, and the reason for requesting a retake.
The purpose of retake form 4-09 is to formally request a retake of an examination or assessment.
The information that must be reported on retake form 4-09 includes the student's name, student ID, course details, exam details, reason for retake, and any supporting documentation.
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