SUBMISSION OF A THESIS

This form MUST be completed at the time your MPhil, PhD or MD thesis is presented at
the Student Reception, Student Administration, Foundation Building, Brownlow HiIl,
Liverpool L69 7ZX, for submission to the Examiners. Failure to submit this form may
mean that the student will not be able to graduate at the next ceremony, and that a
Registration Fee may become payable for the following Session.

Full Name:    ………………………………………………………………………………..……

Department: ……………………………………………………………………………………..

Faculty:      ………………………… ………                  Student N : ……………………………..…

Degree for which the Thesis is Submitted: MPhil / PhD / MD (please circle as appropriate)

Supervisor(s):       ……………………………………………………………………………..

Title of Thesis:     ……………………………………………………………………………..

                    ……………………………………………………………………………..

                    ……………………………………………………………………………..

Date of oral examination if known and applicable:     ……………………………………..

I confirm that I have today submitted …... copies of my Thesis for examination.

Contact E-Mail address…………………………………………………………………………..

Address to be used for notification of my result and for the despatch of information about
graduation:

…………………………………………………………………………………………..

…………………………………………………………………………………………..

…………………………………………………………………………………………..


……………………………………………..                                   …………………………..
    Signature of student                                  Date


……………………………………………..                                   …………………………..
Signature of officer receiving the thesis                 Date


                                                                                  BJ/SAS/2028
                                                                                      Apr 2008

Thesis submission form

  • 1.
    SUBMISSION OF ATHESIS This form MUST be completed at the time your MPhil, PhD or MD thesis is presented at the Student Reception, Student Administration, Foundation Building, Brownlow HiIl, Liverpool L69 7ZX, for submission to the Examiners. Failure to submit this form may mean that the student will not be able to graduate at the next ceremony, and that a Registration Fee may become payable for the following Session. Full Name: ………………………………………………………………………………..…… Department: …………………………………………………………………………………….. Faculty: ………………………… ……… Student N : ……………………………..… Degree for which the Thesis is Submitted: MPhil / PhD / MD (please circle as appropriate) Supervisor(s): …………………………………………………………………………….. Title of Thesis: …………………………………………………………………………….. …………………………………………………………………………….. …………………………………………………………………………….. Date of oral examination if known and applicable: …………………………………….. I confirm that I have today submitted …... copies of my Thesis for examination. Contact E-Mail address………………………………………………………………………….. Address to be used for notification of my result and for the despatch of information about graduation: ………………………………………………………………………………………….. ………………………………………………………………………………………….. ………………………………………………………………………………………….. …………………………………………….. ………………………….. Signature of student Date …………………………………………….. ………………………….. Signature of officer receiving the thesis Date BJ/SAS/2028 Apr 2008