A customized form to document the student's acknowledgment of a scheduling conflict between two course exams on the same day and at the same time. It aims to officially record the conflict case and document the data related to the courses and the student. The form includes the student's academic data, in addition to the details of the conflicting courses, including the name, code, and section of each course, in order to clearly identify the two exams whose timings coincide. The form allows for documenting the student' confirming their awareness of the conflict and verifying the accuracy of the data they provided, which helps ensure the accuracy of the information included in the request. It also includes a declaration of the student's commitment to the relevant official instructions and assuming responsibility for the data and procedures associated with the conflict case. The form is completed with the student's signature, confirming their review of the acknowledgment's content and their approval of what is stated therein. This form helps organize cases where a student faces a conflict in exam schedules and provides a clear document that can be referred to when needed. It also contributes to documenting the conflicting exam data and the student's acknowledgment of responsibility for the submitted information, which enhances the clarity of the procedure and ensures that the conflict case is recorded in an official and organized manner.