11.10

SENIOR DOCTORATES

APPLICATION AND CANDIDATURE FORM

DLittDoctor of Letters

DScDoctor of Science

DScEconDoctor of Economic and Social Studies

DDScDoctor of Dental Science

Academic Handbook 2017/18, Volume 1, 11.10: Senior Doctorate Application Form. 2010/11. Introduced 06.10.09.


SENIOR DOCTORATES
APPLICATION AND CANDIDATURE FORM
Please complete one copy of this form in typescript or black ink when your work is ready to be submitted to the Academic Registry for examination.
1. Please indicate the Senior Doctorate for which you are applying:
Doctor of Letters (DLitt)
Doctor of Science (DSc)
Doctor of Dental Science (DDSc)
Doctor of Economic and Social Studies (DScEcon)
2. Please indicate the working title or topic of the work being submitted:
3. Please state whether any of the work presented has also been submitted or is being concurrently submitted in candidature for any other degree:
Yes No If ‘yes’ please provide details in the supporting summary
4. Personal Details
Surname/Family Name: ……………………………………………………………………….………………………………..
Forenames (in full): ……………………………………………………………………………………………………………..
Title (Mr/Ms/Mrs/Miss etc): ……………………………………………………………………………………….…………….
Date of Birth: ………………………………………………………………………………………………………….………….
Ethnicity: ……………………………………………………………………………………………….…………………………
Gender: …………………………………………………………………………………………………………………………...
Telephone Number: ………………………………………………………………………………….………………………….
Email Address: ………………………………………………………………………………………………………………......
Current Permanent Address
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………………………………………………………………………………………………Postcode: ……………………....
Correspondence Address (if different from above)
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………………………………………………………………………………………………Postcode: ……………………....
5. Academic Qualifications
Please list all degree qualifications held:
Degree Qualification / Institution attended / Awarding University / Award Date
*Cardiff Metropolitan University reserves the right to seek verification of any qualifications listed.
6. Employment
Please indicate below if you are a full-time or part-time member of staff in Cardiff Metropolitan Universityand the date on which you joined as a member of staff:
Institution / School of Department / Full-time or Part-time / Start Date
Please indicate whether - in the event of qualifying for your degree - you wish eitherto attend a Degree Congregation (normally July each year)or to be admitted in absentia
……………………………………………………………………………………………………………………………………
If you have chosen to attend a Degree Congregation, please give:
Your address during the two month period before the next degree Congregation, if different from your current permanent address. [This is the address to which details of the Congregation will be sent to you by the Academic Registry.]
………………………………………………………………………………………………………………………………….….
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………………………………………………………………………………………… Post Code: ……………………………
The address to which your Degree Certificate should be sent by the Academic Registry following the Degree Congregation, if different from your current permanent address.
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………………………………………………………………………………………… Post Code: ……………………………
If you have chosen to be admitted in absentia, please give the address to which your Degree Certificate should be sent by the Academic Registry once you have been admitted to the degree by the Vice-Chancellor (normally within three months of the decision of the Academic Board), if different from your current permanent address.
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………………………………………………………………………………………… Post Code: ……………………………
Before signing and submitting two copies of this form, please ensure that you have read and understood the University Regulations for Senior Doctorates and that you submit all required material and copies of your works for examination.On signing below, you are authorising Cardiff Metropolitan University to seek verification of any information set out on the form.
Candidate's Signature: ………………………………………………………………………………………….
Date: ………………………………………………………………………………………………………………..

This form must be submitted to the Academic Registry (Academic Services), Cardiff Metropolitan University, Llandaff Campus, Western Avenue, Cardiff, CF5 2YB, with the required three copies of your portfolio containing the items listed under section 7 (i) to (vi) of the Regulations for Senior Doctorates. The appropriate part of the examination fee must be included.

For Office Use Only (please do not write in this space)
Completion Date: ………………………………………….

Academic Handbook 2017/18, Volume 1, 11.10: Senior Doctorate Application Form. 2010/11. Introduced 06.10.09.