CONFIDENTIAL

UNIVERSITY OF MALAYA

APPOINTMENT OF EXAMINERS AND RECOMMENDATION OF TITLE OF THESIS FOR DOCTOR OF PUBLIC HEALTH CANDIDATE

Guideline to Supervisor:

1.  Section A, B & C has to be completed by supervisor of the candidate.

2.  Section D has to be filled by the Department JKIT (Only for PTjs having JKIT of department level)

Date / :
To / : / Assistant Registrar
Academy/Faculty/Institute/Centre:

Sir/Madam,

Name of Candidate Under Supervision / :
Matric No. / :
Field of Research / :

SECTION A: TITLE OF THESIS

Current Title of Thesis
(block letters) / :
Recommended? / Yes / #No
# Please suggest new title of thesis (block letters):

I hereby suggest the following examiners for the candidate under my supervision:

SECTION B: APPOINTMENT OF EXAMINERS

EXTERNAL EXAMINERS
(Complete Address and E-mail) / 1.
2.
3.
RESERVE EXTERNAL EXAMINER (Complete Address and E-mail)
INTERNAL EXAMINER
(Position, Department, Faculty, E-mail)
Date :
Supervisor Name, Signature
and Official Stamp

SECTION C: DETAIL OF EXTERNAL EXAMINERS/ RESERVED EXTERNAL EXAMINERS

This document must be attached with Examiners’ complete CV according the following format.

Note: / 1.  / Publication must be latest (latest book/journal within 5 years).
2.  / Three (3) of the publications must be from ISI journals (Please tick * for ISI publications).
3.  / The softcopy of this information must be e-mailed to Assistant Registrar of the respective faculties.
4.  / Please use additional papers if necessary.
Name of Examiner / :
Correspondence Address / :
Mobile Phone No. / : / Office Phone No.:
E-mail / :
The Highest Academic Qualification
(PhD, University, Year) / :
Field of Specialization / :
Work Experience / :
Biodata of the Examiner (50-100 words) :
Selected Publications (Please tick * for ISI publications):
1. 
2. 
3. 
4. 
5. 

SECTION D: HEAD OF DEPARTMENT RECOMMENDATION

This section has to be filled by the Head of Department (Only for PTjs having JKIT of department level)

Internal Examiner / External Examiner
Head of Department Recommendation / Agree / Agree
Disagree / Disagree
Comment:
Date:
Head of Department, Signature
and Official Stamp

Kemaskini September 2011

FH/SS/mab/unit PG, SPM

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