Form D8 : Intention to Submit – 2012

Faculty of Health Sciences

Notice of Intention to submit Master’s Dissertation for Examination

To be completed and returned to :
Lorraine McDonald
Postgraduate Administrative Officer, Room 2.19 Wernher & Beit Building North, Anzio Rd, Observatory. / Contact Details :
Tel : (021) 650 7662
Fax : 086 6663224
Email:
Student Detail : Please print clearly.
Full Name
Student Number
Degree : eg MSc (Med) in Anatomy
Minor-Dissertation or Full Dissertation ?
Full Name of Supervisor (Prof/Dr/Mr/Ms)
Co-Supervisor (1)
Co-Supervisor (2)
Dissertation Title : Please print clearly
Submission for possible graduation in June or December?
Submit : 2 temporarily bound copies plus a CD in a universally readable format (preferably pdf format).
Submit : An Abstract of your work, not exceeding 1page.
Remember that a signed and dated Declaration must be included and inserted in the front of your dissertation.
Have you submitted a Study Proposal? / YES / NO
Have you registered this year? / YES / NO

Contact details during examination and graduation process:

Postal Address
Telephone (H)
Telephone (W)
Fax Number
Email Address

PLEASE NOTE : If you submit your dissertation for examination at a time other than the faculty submission dates of 15 March and 15 August, there may be a considerable delay before receiving your examination results. While every effort will be made to process the work for examination as soon as possible the faculty does not however undertake to reach a decision on the award of the degree by any specific date.

I undertake to inform the Manager: Postgraduate Administration immediately should I not be able to meet the deadline for submission, i.e. 15 March or 15 August.

Signature : ______Date : ______