Section 1 - to Be Completed by the Student

HIGHER DEGREES BY RESEARCH

TRANSFER OF PROGRAM

If you have attempted, but not completed, a previous Masters by research, Professional Doctorate by research or Doctor of Philosophy (PhD) program at an Australian institution other than RMIT in the past 3 years you must complete this form and lodge it at the School of Graduate Research. Please complete a separate form for each previous instance of the above.
Please ensure your application complies with all regulations relating to your degree. Higher Degrees by Research Policy and Procedures is available from the Graduate Research Web site at http://www.rmit.edu.au/graduateresearch.
The University's privacy statement can be viewed at http://www.rmit.edu.au/students/enrolment/privacy.

SECTION 1 - TO BE COMPLETED BY THE STUDENT

YOUR ENROLMENT DETAILS AT THE NON-RMIT HIGHER DEGREE BY RESEARCH PROGRAM
Surname / Given names
Name of Institution
Level of Program / Masters by research Doctor of Philosophy (PhD) Professional Doctorate by research
Name of Program
Student ID / Senior Supervisor
Date Started / / / / Date Withdrew / / /
Leave Periods / Date From / Date To / Type of Leave (e.g. Approved Leave, Maternity Leave)
/ / / / /
/ / / / /
/ / / / /
/ / / / /
/ / / / /
Load Changes / Date From / Date To / Full-time or Part-time
/ / / / /
/ / / / /
/ / / / /
/ / / / /
/ / / / /
Reason for transfer
Are you continuing with the same project at RMIT? / Yes No
Did you obtain any formal approval for the following? (please attach proof) / Research Proposal / Confirmation of Candidature Ethics IP
Declaration: I declare that the information supplied by me as part of this application is correct and complete. I am aware that giving false or misleading information is a serious offence under the Criminal Code (Commonwealth) and that there are severe penalties for providing false or misleading information. I authorise the university to obtain from other education institutions and relevant authorities details of my enrolment, academic record, examination results and bond status, including details of enrolment variation, attendance and addresses during the year in connection with this application. I agree to abide by the University’s conditions of award as amended from time to time.
Signature / Date / / /

Next step: Forward this form to the School of Graduate Research

In person:
Room 16, Level 2, Building 91,
City Campus, RMIT University
110 Victoria Street, Carlton / By mail:
GPO Box 2476
School of Graduate Research
VIC 3001

SECTION 2 - TO BE COMPLETED BY THE SCHOOL OF GRADUATE RESEARCH

Version 2010 Owner: School of Graduate Research, Research & Innovation Portfolio, RMIT University Last Updated: 24/11/2010

RMIT Student ID
Prior EFTSU
Actions / Commencement Date updated in PeopleSoft
Start Date updated in ResearchMaster
Prior Load recorded in ResearchMaster
Physical file created

Version 2010 Owner: School of Graduate Research, Research & Innovation Portfolio, RMIT University Last Updated: 24/11/2010