DECLARATION 1 FORM
Declaration of Originality by Postgraduate Candidate (for softbound thesis) 1
Candidates for postgraduate degrees must present this completed form to askUS, Student Administration, ground floor, University House, when submitting their two soft-bound theses. In addition an electronic version of the thesis (pdf format) should be sent to the candidate’s PGR Support Officer.
Name of candidate (in BLOCK CAPITAL LETTERS as it appears on the thesis)
………………………………………………………………………………………………………………………………………….
Roll number/Student number: ……………………………………………
School: ….…………………………………………………………………………………………………………………………….
Degree (PhD, DMA, Professional Doctorate, MSc, MPhil, MRes – Please specify): .………………………………………
This is to certify that the copy of my thesis, which I have presented for consideration for my postgraduate degree: -
1. embodies the results of my own course of study and research
2. has been composed by myself
3. has been seen by my supervisor before presentation
4. has been granted the appropriate level of ethics approval
Signature of candidate: …………………………………………………………… Date: …………………………………
Address (to which information concerning examiners’ decision and final binding can be sent):
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
………………………………………………………………………………………………………………….
The candidate’s supervisor is asked to declare here that s/he has approved the submission of the thesis. If the supervisor decides to withhold approval, the candidate shall have the right of appeal to the Associate Head/Dean of Research. A candidate may be permitted to submit a thesis despite the Supervisor withholding approval, providing the Associate Dean of Research approves submission.
Signature of Supervisor: ………………………………………………………… Date: …………………………………
Please note that the completed declaration form must accompany the softbound thesis when
presented to Student Administration
Oct 2017 v1
http://www.pg.salford.ac.uk/page/progression_forms