Division of Health Sciences
Pro-Vice-Chancellor Variation Approval Form
For any course of study that does not fully comply with the regulations and for
which Pro-Vice-Chancellor approval is required. (Effective from September 2013.)
Programme:
Student name:
Student ID:
Qualification:______________________________________________________________
Regulation requiring Pro-Vice-Chancellor Variation Approval (Calendar
year, page number(s) and clause(s)):
This Variation is for (tick as appropriate):
0
0
0
0
0
0
0
Admission to the Programme
o Transfer Credit
o Ad Eundem Statum
o Other
The Structure of the Programme
o Exemptions
o Substitutions
o Additional papers to those specified for the prescribed course
o Workloads in excess of the maximum
o Other
Duration of the Programme
Cross Crediting between Degrees
Examinations
Repeating of Paper beyond the prescribed limit
Other (outline in the justification)
Justification for Variation and details of the request:
Signature:
Dean of the School/Faculty (or nominee – supply name)
Date:
DIVISION TO COMPLETE: Divisional Basis for Decision:
Approved/Declined
Signature:
Pro-Vice-Chancellor (or nominee)
Date:
Once the approved form is returned by the Divisional Office, could Schools/Faculties/Departments please
inform the student of the outcome and send a copy of the signed form to Student Records, Clocktower Building
Notes
This form is to be used by all Division of Health Sciences undergraduate programmes,
and postgraduate programmes in Dentistry, Medical Laboratory Science, Pharmacy and
Physiotherapy.
Please send the Pro-Vice-Chancellor Variation Approval Form, along with a copy of the
student’s academic record and any other relevant documentation, to the Health Sciences
Divisional Office, attention the Academic Manager.
Documents will be signed by the Pro-Vice-Chancellor’s nominee, the Associate Dean
Academic, each Friday afternoon. All documents for signing must be received by noon
on Wednesday to be signed by the Friday of the same week. Once a decision has been
made, a copy of the signed form will be returned to you. Please inform the student of the
outcome, and send a copy of the approved form to Student Records, Clocktower
Building.