REGISTRY
INTENTION TO SUBMIT RESEARCH THESIS FOR FINAL
EXAMINATION (ITS Form)
The Principal Supervisor, having consulted other members of the supervisory team as well as the candidate, should complete this
form and submit it to the Research Records Office, 6 Airlie Place OR the following School Research Admin Office:
> School of Art & Design, RPG Research Admin Office, Level 3, Matthew Building, Ext 85249
> School of Business, PhD Admin Office, Room G.06, Carnegie Building, Ext 88815
> School of Dentistry, RPG Research Admin Office, 9th Floor, Dundee Dental Hospital and School, Park Place, Ext 81738
> School of Education & Social Work, RPG Research Admin Office, OMI Building, Campus Green, Ext 81480
> School of Humanities, RPG Research Admin Office, Level 1, Baxter Suite, Tower Building, Ext 84538
> School of Life Sciences, SLS PhD Research Admin Office, James Black Centre Building, Ext 84880
> School of Medicine, Postgraduate Office, Corridor G, Lab Block, Level 6, Ninewells Hospital, Ext 86931
> School of Nursing & Health Sciences, RPG Research Admin Office, Airlie Place, Ext 88557
> School of Social Sciences, PhD Research Admin Office, Ground Floor, Scrymgeour Building, Ext 84459
> School of Science & Engineering, RPG Administrator, Research School Office, Fulton Building, Ext 88085
at least 3 months prior to the planned date of the viva voce examination. Once approved this form will be VALID FOR 6 MONTHS
ONLY. A new form will be required if the viva examination cannot be held within the period of validity.
SECTION A: STUDENT AND SUPERVISOR INFORMATION
Name of Candidate
SURNAME, Forename
Matric No
Degree (PhD, MPhil, MSc,
MD, other)
School
Title of Thesis for
Submission
Research Supervisors
Principal [1] : Second [2]
Candidate Signature Date
Principal Supervisor
Signature
Date
SECTION B: PROPOSED COMPOSITION OF THE EXAMINING COMMITTEE (continued overleaf)
EXTERNAL EXAMINER(S): Two External Examiners are required if the candidate is a member of academic staff
(1) NAME (Please PRINT
including title)
Full Postal Address
including
Email and Tel No.
(2) NAME (Please PRINT
including title)
Full Postal Address
including
Email and Tel No.
TO BE COMPLETED BY THE RESEARCH SUPERVISOR
Please indicate why this
External Examiner
appointment is considered
appropriate for the
examination of this
candidate.
SECTION B: PROPOSED COMPOSITION OF THE EXAMINATION COMMITTEE
INTERNAL EXAMINER: Shall not be one of the candidate's supervisor(s)
NAME (Please PRINT
including title)
SCHOOL
CONVENER: Must have acted as Internal Examiner on a previous examining committee and shall not be one of the
candidate's supervisors
NAME (Please PRINT
including title)
SCHOOL
SECTION C: PROPOSED DATE OF VIVA VOCE EXAMINATION
Signature of Head of
Division/Programme
Date
FOR SCHOOL OFFICE USE ONLY
Recommended for Approval YES NO
Signature of Authorisation (Dean / HDC / RPC)
Signature Date
IMPORTANT INFORMATION
The following documents should be read in conjunction when approving this form:
APPENDIX 1 - Checklist for the completion of the Intention to Submit Form
APPENDIX 2 - Curriculum Vitae of External Examiner (for Candidate)
APPENDIX 3 - Guidance for Examiners for Higher Degree by Research
registry_general_formscentral/LB Revised 14/08/19
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome