Proposal for the Appointment of an External Examiner

All fields must be completed.

SECTION A - To be completed by nominating department
  1. Proposed External Examiner’s name(please include Title and Gender if title is Dr or Prof.)

  1. Subject Area covered by this External Examiner (please include a list of units on the final page, providing the U or P code)

  1. Start date of appointment– an appointment period of 4 academic years is standard. Please indicate if you are proposing a different contract length

  1. Month in which the Examiner’s annual report will be due (being 4 weeks from the final board of the year)

SECTION B - To be completed by proposed Examiner

The information you provide in this section is subject to regulation by the Data Protection Act 1998.For further information on how your data will be managed and used please contact Cat Palmer in Academic Registry on 0239284 3591 or .

  1. Contact details

Telephone / Mobile(if you would like us to contact you in this way)
Email / Affiliation/Current Employer
Address
  1. Details and dates of previous and current teaching and academic leadership duties(e.g. course leader, unit coordinator), and / or relevant internal quality assurance/enhancement experience (e.g. membership of course approval panels, membership of relevant committees)

  1. Details and dates of previous and current External Examiner duties (please indicate which (if any) are ongoing)

  1. Details and dates of any previous contact or involvement with the University of Portsmouth (including writing/producing course materials, research collaborations, as a visiting speaker/lecturer, PhD supervision etc – please provide details including when and how often you have taken on a role)

  1. Names of any University of Portsmouth staff currently appointed as an External Examiner in your Department or subject area(please state if none)

  1. Proposed External Examiner
I have received a copy of the document “External Examiners Regulations and Procedures” and I have discussed the duties with ......
I am clear about the duties and responsibilities involved and I am willing to be nominated as an External Examiner. I enclose a copy of my Curriculum Vitae.
In your CV please ensure that you make clear how you meet the requirements as set out in section 2.9 of the External Examiners Regulations and Procedures.
I confirm that I have the right to work in the UK, subject to the requirements of the UK Visas and Immigration (UKVI).Please send a copy of the details page from your UK/EU passport, or a copy of your working visa, as confirmation of this. We will also require you to bring the original for verification on your first visit to the University.
If your right to work status changes during the course of your appointment, you should inform Cat Palmer in Academic Registry immediately, on 023 9284 3591 or by email to .
Signature: ...... Date: ......
(If you are completing this form electronically please send a covering email, from your named email address, confirming your agreement to the above statement.)
SECTION C – For University of Portsmouth use only
  1. Please provide the name of the University Contact for correspondence.

  1. Checklist
Please ensure that the following items are provided to accompany this proposal form:
  • a copy of the proposed Examiner’s current CV;
  • a photocopy or scan of the proposed Examiner’s passport. If a passport is not available, please contact Quality Management Division to discuss alternative methods of identification;
  • if the proposed Examiner has completed the form electronically, a copy of the covering email, from their named email address, to confirm that they agree to the conditions in section 10 of the proposal form and to being nominated as an External Examiner;
  • if a non-standard fee is to be requested, you will also need to send a completed and signed Non-Standard Fee proposal form (available from
Please also check that an accurate list of units, including the U or P codes, has been completed (a template is included on the last page of this document).
  1. Agreement by Head of Department / School
Department / School of …………………………..
The agreed fee is £ per annum. If you wish a different fee to be paid, please complete a “Request for a Non-Standard Payment to an External Examiner” and attach it to this form. Please refer to the relevant document at for current fee schedules.
Signature: …...... Date: …...... …………
The previous Examiner was:
(Name)…...... (Institution)…...... ……
If the proposed External Examiner has no or little previous experience of HE-level External Examining, please provide an outline of mentoring and support arrangements which will be put in place:
14. Associate Dean (Academic)
I have checked the proposal and confirm that the criteria for appointment are met, or, that I support the case for exceptional consideration as follows:
Signature: …...... Date: …...... …………
14. On behalf of Academic Registry
I have checked the proposal and confirm that the criteria for appointment are met, or that a case for exceptional consideration has been made.
Signature: …...... Date: …...... …………
15. Signed by Pro Vice-Chancellor on behalf of Quality Assurance Committee
Signature: …...... Date: …...... …………
Any additional comments?
Units covered by this External Examiner
Unit Code / Title of Unit

External Examiner proposal form– updated October 2015Page 1 of 5