Intern Match Extenuating Circumstances Form

Please provide: A statement or brief letter outlining reasons for consideration of eligibility under the relevant category. Evidence of current residential address, for example, utility bills or Council rates issued in the past 12 months. A letter from a treating medical practitioner if the category relates to a medical condition or disability (whether the applicant’s or a dependent). Evidence of the nature of the relationship with the person dependent on the applicant’s care where the category relates to parental or carer responsibilities. Other information relevant to their application for special consideration.