Student and Academic Services
Graduate School
Form RD EXIT /

EXIT FORM

This form must be submitted to the Graduate School along with the documentation in the checklist below. Failure to complete the tasks outlined below may delay conferment of any award by the University.
SECTION 1
The Student
Full Name:
Degree for which thesis is submitted (e.g. MPhil/PhD etc.):
Postal address to which the formal notification of the award, details of the award ceremony and the certificate should be sent:
Country: / Postcode:
SECTION 2
Checklist
I am submitting the following documents along with this RDEXIT form:
Please tick
Final electronic copy of my thesis /
A separate electronic copy of my abstract and title page /
Completed RDETHoS Form /
Declaration
I confirm that the following tasks have been fully completed:
Please tick
My DoS has been provided with a copy of my thesis
My DoS/Department has been provided with the associated data/results/reports/ papers submitted for publication or presented at conferences/computer programmes, generated during the project. /
Working areas have been cleared of any materials used throughout the programme and any relevant unused/prepared materials returned to the department. /
Any hazardous materials have been returned to the appropriate storage areas or disposed of in the approved manner and any human tissues have been appropriately disposed of. /
Library books and other equipment and consumables have been returned. /

SECTION 2 (continued)

Declaration
University computers and associated equipment have been left in a state suitable for use by others. Materials stored in computer memory have been deleted. /
All confidential materials have been dealt with as specified in ethics statements and in promises to data subjects, collaborating organisations and data collection sites. /
All final reports have been submitted to the appropriate external Ethics Committee for auditing purposes. /
Any keys issued have been returned. /
Approval
Signed: / Date:
(Student)
Signed: / Date:
(Director of Studies)
Signed: / Date:
(Departmental Health & Safety Co-ordinator-where appropriate)
Thesis Receipt
Signed: / Date Received:
(Graduate School)

RD Exit, version 2.0 04/08/2016