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In order to be able to differentiate between applicants to make final decisions on places, tutors need to be able to rely on applicants (and schools) providing a full and accurate picture of their educational background. Tutors will take this full picture into account, even though offers may be based on only part of the qualifications applicants are taking in their final school year. 

If an applicant's educational circumstances do change after submitting an application, or after receiving an offer, we would expect the applicant to contact both the Medical School and the college of application (or the college offering a place) to inform them of the decision taken.