Research Postgraduate Programmes
Principal Supervisor’s Declaration and Appointment of Board of Examiners

Name of Student: 				  Student No.: 		  	  Department: _________________
Principal Supervisor: ____________________________	Programme Code: ____________________  Study Mode*: FT / PT    
Final Thesis Title: _________________________________________________________________________________________
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From: Principal Supervisor 

I hereby declare that I do not have any conflict of interests with the External Examiners.  The recommended External Examiner(s) are NOT academic staff of the University.  They have NOT been the teaching staff of the University or have taken part in the teaching of the student, even in a visiting capacity, in the immediate past three years, nor are they expected to join the University before the assessment is completed.

Principal Supervisor’s Signature: 						 Date: __________________________________
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From: Faculty/School Dean

The following members are recommended as Board of Examiners for the MPhil/PhD* degree examination of the student (Note: Please attach a copy of the External Examiner(s)’ C.V. with this form):

MPhil Examination
Chair (non-voting): Faculty/School Dean (or designate):   					
Internal Members: Department Head (or designate): 				     Principal Supervisor: ___________________

Name: 	Post Title:	
Department:	
Institution/Organization:	
Address:	
	
Tel no.:                                           Fax no.:                                        Email:              	
External Examiner: 	

		

Additional members (if any; non-voting): 		 				

PhD Examination
Chair: Faculty/School Dean (or designate):   					
Internal Members: Department Head (or designate): 				     One academic: ________________________
External Examiner (Note: External Examiners are expected to be present in person or via tele/video-conferencing at the oral examination): 
1. 	Name:	2. 	Name:	
	Post Title:		Post Title:	
	Department:		Department:	
	Institution/Organization: 		Institution/Organization: 	
				
	Address:		Address:	
				
	Tel no.:                                     Fax no.: 		Tel no.:                                         Fax no.:	
	Email: 		Email: 	
Proxy (if applicable): 					      Principal Supervisor (non-voting): ______________________
Additional members (if any; non-voting): 						                       * Please delete where appropriate.
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Recommended by:
Department Head’s Signature	: 				  Date:					
	
Faculty/School Dean’s Signature	: 				  Date:					

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