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D2 form- candidates affected by adverse circumstances

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What defines "adverse" circumstances needed to fill out a D2 form? Do they have to be life-threatening or does prolonged fatigue from glandular fever and menorrhagia from period cramps count as well? 

 

 

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I tried looking for an answer, and there doesn't seem to be a very clear one. I do know, however, that the form has to be verified by an IB coordinator, so it's best to ask your coordinator if you really think you can't make it.

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