The National University of Singapore

Electrical & Computer Engineering Department

Faculty of Engineering

Ph.D Comprehensive Qualifying Examination

Registration Form

SECTION A : To be completed by STUDENT and submitted to supervisor(s).
(1) Particulars of Student
Name of Student : ______
Matriculation No : ______
Date of Degree Registration (dd/mm/yy) : ______
Degree Type : M.Eng / Ph.D (please delete whenever appropriate)
Scholarship Status : Research Scholar With ECE / Scholar With Other Support / Self-Financed
(please delete whenever appropriate)
1st Attempt At Comprehensive QE : Yes / No (please delete whenever appropriate)
Date of 1st Attempt : ______(if applicable)
Thesis Title : ______
______
Supervisor(s) : (1) ______
(2) ______
(2) Schedule of Comprehensive Qualifying Examination
(Note : Student is to discuss with supervisor(s) and complete the details below. Student is to book the
examination venue on his / her own. Completed registration form is to be submitted at least 3 weeks
before the scheduled examination date. Examination paper will only be released on a Mon or Tues.)

Note : Student is to submit report to department within 72 hours after the examination paper is given.

Proposed Paper Collection Date (dd/mm/yy) & Day : ______

[ ] Mon [ ] Tues

Proposed Examination Date (dd/mm/yy) : ______

(Within 1 week from report submission date, with Sat & Sun included in the calculation)
Proposed Examination Time (hh:mm, am / pm) : ______
Proposed Examination Venue : ______

(3) Declaration by Student

I confirm my registration for the examination as indicated.
______
(Signature of Student) (Date)
SECTION B :
To be completed by PANEL MEMBERS, and submitted by SUPERVISOR directly to department.
(1) Panel Members’ Nomination (To be completed by Supervisor)
Panel Member 1 : (Chairman)
** Supervisor should not be Chairperson.
Should be a senior staff member from ECE. / Panel Member 2 : (Non-Supervisor)
Dept (if different from the Dept student is in) :
Panel Member 3 : (Supervisor)
Dept (if different from the Dept student is in) : / Panel Member 4 : (Co-Supervisor)
Dept (if different from the Dept student is in) :
(2) Declaration by Supervisor(s)
I confirm the accuracy of the details as indicated in both sections A and B above, and support the student in registering for this examination.
______
(Name & Signature of Supervisor) (Date)
______
(Name & Signature of Co-Supervisor) (Date)

SECTION C : To be completed by DEPARTMENT.

Deputy Head of Department’s Recommendation & Support To Proceed With Examination

Comments by Deputy Head of Dept (if any) :
Recommended and Supported By :
______
(Name & Signature of Deputy Head of Dept) (Date)