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    PGR02 - Changing of Supervisor

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    KAVITHA A/P PARIMAL Moe
    This document is a form for a student to request a change of supervisor or supervisory committee. The student provides their personal details and program information. They list their current and proposed new supervisor(s), and give a reason for the change. The new supervisor(s) must fill in their contact details if approving the change. The form then requires signatures from the program director and RPMU to approve and process the change.

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    © All Rights Reserved
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    PGR02 - Changing of Supervisor

    Uploaded by

    KAVITHA A/P PARIMAL Moe
    52 views4 pages
    This document is a form for a student to request a change of supervisor or supervisory committee. The student provides their personal details and program information. They list their current and proposed new supervisor(s), and give a reason for the change. The new supervisor(s) must fill in their contact details if approving the change. The form then requires signatures from the program director and RPMU to approve and process the change.

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    This document is a form for a student to request a change of supervisor or supervisory committee. The student provides their personal details and program information. They list their current and proposed new supervisor(s), and give a reason for the change. The new supervisor(s) must fill in their contact details if approving the change. The form then requires signatures from the program director and RPMU to approve and process the change.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    52 views4 pages

    PGR02 - Changing of Supervisor

    Uploaded by

    KAVITHA A/P PARIMAL Moe
    This document is a form for a student to request a change of supervisor or supervisory committee. The student provides their personal details and program information. They list their current and proposed new supervisor(s), and give a reason for the change. The new supervisor(s) must fill in their contact details if approving the change. The form then requires signatures from the program director and RPMU to approve and process the change.

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    © All Rights Reserved
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    You are on page 1of 4

    Matric Number : CGS ______________

    CHANGE OF SUPERVISOR/SUPERVISORY COMMITTEE


    PGR02

    PART A TO BE COMPLETED BY STUDENT

    Name : _____________________________________________________________

    Programme : _____________________________________________________________

    Learning Centre : _____________________________________________________________

    IC/Passport Number : ____________________________ Matric Number : CGS ______________

    Intake : ____________________________ Current Semester : ________________

    Postal Address : _____________________________________________________________

    _____________________________________________________________

    Telephone (Office) : ______________ Handphone : _______________________

    Email : _____________________________________________________________

    Title of Research/Project (use BLOCK LETTERS):

    Current Supervisor(s) : 1) ___________________________________________________________

    *2) ___________________________________________________________

    *3) ___________________________________________________________

    * If applicable

    Supervisor(s) to be replaced: 1) ___________________________________________________________

    *2) ___________________________________________________________

    *3) ___________________________________________________________

    * If applicable

    1
    Matric Number : CGS ______________

    Reason for Change : _____________________________________________________________

    _____________________________________________________________

    _____________________________________________________________

    Signature of Student Date

    PART B TO BE COMPLETED BY NEW SUPERVISOR(S)

    DETAILS OF SUPERVISOR 1

    Name of Supervisor*:

    Specialisation : ______________

    Institution & Address: _______

    Telephone : (O) _______________________________ (H/P) ___________________________________

    E-mail: ________________________________________________________________________________

    Signature of Supervisor Date

    DETAILS OF SUPERVISOR 2 (if necessary)

    Name of Supervisor*:

    Specialisation : ______________

    Institution & Address: _______

    Telephone : (O) _______________________________ (H/P) ___________________________________

    E-mail: ________________________________________________________________________________

    Signature of Supervisor Date

    2
    Matric Number : CGS ______________

    DETAILS OF SUPERVISOR 3 (if necessary)

    Name of Supervisor*:

    Specialisation : ______________

    Institution & Address: _______

    Telephone : (O) _______________________________ (H/P) ___________________________________

    E-mail: ________________________________________________________________________________

    Signature of Supervisor Date

    * For first time Supervisor(s), please attach CV.

    PART C FOR OFFICE USE

    FOR PROGRAMME DIRECTOR ONLY FOR RPMU ONLY


    I-Campus Updated
    Approved / Not approved
    Verified by,

    __________________________________
    (Signature & Stamp) (Signature & Stamp)

    Date : _____________________________
    Date : ________________________________

    Remarks (if any):

    3
    Matric Number : CGS ______________

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