Students
Name: / Campus: ColeraineJordanstownMageeBelfast
Registration Number: / Faculty: Ulster University Business SchoolFaculty of Engineering and the Built EnvironmentFaculty of Arts, Humanities and Social SciencesFaculty of Life and Health Sciences
Original Mode of Study: Full-time
Part-time / Original Source of funding: selfVCRSDELsponsorother (please specify)
Date of initial registration: / Degree Registered For: PhDMPhilPhD by Published WorksDoctor of Medicine (MD)Doctor of Education (EdD)Doctor of Management (DMan)Doctor of Nursing Science (DNSc)Doctor of Environmental Science (DEnvSc)Doctor of Medical Science (DMedSc)Doctor of Biological Science (DBiolSc)Doctor of Engineering (DEng)Doctor of Technology (DTech)Doctor of Informatics (DInf)
Title of Research Programme:
Supervisory Details
Supervisor (i) / School
Supervisor (ii) / School
Supervisor (iii) / School
Extension details
Period of extension requested
(three month period) / From:(day, month, year) / To:
(day, month, year)
Previous periods of extension granted
(note all extensions granted and reasons) / Dates:From: To:
From: To:
From: To: / Reasons:
If you have failed to meet the timescales mentioned in previous extensions, you should give reasons here:
Report by Student
Progress with research to date (in particular you should provide details of progress since your last extension of time):
Anticipated date of completion (n.b. this may be different from the end date requested on this extension form):
/(day, month, year)
Reasons for extension request: Medical Personal Ethical(please see notes of guidance)
Physical Resource Supervisory
Please provide detailed information regarding the reasons for your extension request and attach the required supporting documentation to this form. In particular, you should detail the impact that these extenuating circumstances have had on your ability to progress with your research, including an estimation of the time during which you were unable to work. Please refer to the notes of guidance below for information on what constitutes acceptable evidence:
Timeline for completion (please provide a detailed chart showing anticipated progress on a weekly basis – your timeline should reflect the anticipated date of submission noted above and should be a realistic assessment of the additional time required to submit):
Signed:
……………………………………………………………………… (student) (date)
Recommendation by supervisor(s)
Do you support the candidate’s request for an extension of time? Yes No
Please provide a detailed case in support of the student’s application or, if appropriate, your reasons for not supporting the case. In particular, you should provide reasons why you feel a fee waiver is appropriate as opposed to an extension of time with fee. (n.b. failure to provide a detailed case will result in the application being returned):
Signed:
…………………………………………………………………. (Supervisor) (date)
…………………………………………………………………. (Supervisor) (date)
Recommendation by Research Director
Is the student’s application for an extension of time supported? Yes No
If ‘Yes’, please select which option you support: a) extension of time
b) extension of time with fee waiver*
*Please provide your rationale for supporting a fee waiver, as opposed to an extension of time with fee.
If you have any additional information not elsewhere noted on this form in support of this case, please provide details:
If the student has applied for option b) above and you do not support the case, please provide your reasons:
Signed:
……………………………………………………… (Research Director) (date)
Recommendation by Doctoral College Board
Extensions must be approved through the Doctoral College Board.
Is the student’s application for an extension of time approved? Yes No
If ‘Yes’, please select which option is approved: a) extension of time
b) extension of time with fee waiver
If the student has applied for option b) above and you do not support the case, please provide reasons:
Signed:
……………………………………………………..(on behalf of Doctoral College Board) (date)
(This form should be returned to the Doctoral College, Jordanstown, for research students on the Jordanstown and Belfast campuses; or to the Doctoral College, Coleraine for research students on the Coleraine and Magee campuses.)
Notes of Guidance for Completing Extension of Time – Extenuating Circumstances
This form is to be used for the request for an extension of time for reasons beyond your control and subsequent waiver of fee. You are permitted to apply for a three month extension and should provide a timetable for completion within this time-frame.
Your reason for requesting the extension should fall within one of the following categories:
Category / Suggested Evidence / ExamplesMedical / A statement from your doctor indicating that you should refrain from working for a specified period of time or that your circumstances have led to you being unable to work for a percentage of your time. / Medical factors which have inhibited completion of project.
Personal / A statement from your doctor indicating that you should refrain from working for a specified period of time or have been unable to work for a percentage of your time. / Issues such as bereavement or illness withfamily members.
Ethical Approval / A statement from Research Governance confirming delays. / Issues relating to delays in ethical approval processes or related factors associated with delays in the recruitment of patients or other research participants.
Physical Resources Issues / A statement from your supervisors, supported by the Research Director confirming factors which have impeded the progress of your study. / Issues relating to breakdown or inaccessibility of necessary equipment or other physical resources required for your study.
Supervisory issues / A supporting statement from the Research Director confirming supervisory issues. / Issues could include illness or unavailability of supervisory support, which result in a delay in receiving feedback or guidance.
Information supplied on this form will be held in confidence and will only be distributed to those involved in considering and processing this application.
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