Research Postgraduate Programmes
Request for Change/Addition of Supervisor

Name of Student: ___________________________	Student No.: _______________	Department: ___________

Study Commencement Date: _________________________	Programme*: MPhil / PhD   	Study Mode*: FT / PT    
* Please delete where appropriate.

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Reason(s) for Change: ______________________________________________________________________________________________________________________________________________________________________________________

Effective Date: __________________________________

Acknowledged by: 
Current Principal Supervisor and Co-Supervisor(s)	
Principal Supervisor	
Name:	
	Department:		
Signature:	
	Date:		
	
Co-Supervisor 1	
Name:		Department
		
Signature:		Date:

Co-Supervisor 2 (if any)	
Name:		Department/Affiliated Institution (for External Supervisor):		
Signature:	
	Date:		
	
Agreed by: 
Proposed changes to the above composition 	
Principal Supervisor	
Name:	
	Department:		
Signature:	
	Date:		
	
Co-Supervisor 1	
Name:		Department:
		
Signature:	
	Date:		

Co-Supervisor 2 (if any)	
Name:		Department/ Affiliated Institution (applicable for External SupervisorNote 1):		
Signature:		Date:		

Student 
Signature:		Date:		

Approved by: Note 2

Current Department Head	Head of the proposed transfer-in Department (if applicable)	
Signature:			Signature:		
Date:			Date:		
		
Current Faculty/School Dean	Dean of the proposed transfer-in Faculty/School (if applicable)	
Signature:			Signature:		
Date:			Date:		

Notes:
1.	If the proposed change involves a change of external supervisor, a curriculum vitae of the proposed external supervisor must be submitted together with the completed form.
2.	If the proposed change necessitates a transfer of the student’s Department/Faculty, approval from the proposed new Department/Faculty must be sought. A memo detailing the studentship arrangement should be included (if applicable).
3.	The date of transferal shall normally be the first day of a month. 
4.	The completed form should be submitted to the Graduate School at least one week in advance of the intended effective date.)

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