Separate Reference Request form

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Form version: 29/02/2012
Manufacturing Technology Engineering Doctorate Centre
Faculty Research Office, Faculty of Engineering
Coates Building
The University of Nottingham
University Park Campus
Nottingham NG7 2RD
Telephone +44 (0) 115 95 13836 / +44 (0) 115 82 32500
E-mail: [email protected]
www.manufacturingedc.ac.uk UK
REFERENCE FOR ADMISSION TO POSTGRADUATE STUDY
PART I: To be completed by the Applicant
Please complete Part I at the foot of this form (electronically). You may wish to download a separate copy of
the reference request form from our website
http://www.manufacturingedc.ac.uk/mtedc/apply/howtoapply.aspx.
Then complete and send to each referee requesting that the reference section in Part II is competed and
submitted electronically. Ask your referees to keep a record of this as if successful at this stage they may
be asked to submit a signed hard copy. We will be unable to complete the application process without your
references.
PART II: To be completed by the Referee
Please send an electronic version of your reference at this stage but please keep a record of this
as if the candidate is successful at this stage you may be requested to submit a signed hard copy.
The person named above has applied for admission for postgraduate study at the University of
Nottingham. I should be most grateful if you would provide us with a reference on the applicant's
academic and general suitability to undertake the proposed course of study by completing Part II on
the reverse side of this form or by attaching to the form a written statement on letter headed paper.
It would be of great assistance if, in addition to any general statement, you would indicate the
following in your reference:
(a)
how long you have known the applicant and in what capacity;
(b)
for applicants whose first language is not English, their standard of proficiency in written and
oral English;
(c)
the nature and class of degree already obtained or expected to be obtained;
(d)
how the applicant's achievements compare to those of his/her peers;
(e)
the applicant's suitability for postgraduate study, including any distinct strengths or
weaknesses.
Your reply will be treated in confidence by the University.
Please email this competed form to [email protected] If you have any
problems please contact The Centre Manager or the Faculty of Engineering
Research Office using the numbers above.
612937965
Page 1 of 3
Form version: 29/02/2012
PART I - APPLICANT
YOUR NAME:
Your name
YOUR ADDRESS:
Your address
PROPOSED COURSE:
Proposed course
PROPOSED DATE OF ADMISSION:
Proposed date of admission
NAME OF REFEREE:
Name of referee
612937965
Page 2 of 3
Form version: 29/02/2012
PART II - REFERENCE
Enter your reference (electronically) here:
Please enter your reference here....
(If you do not have an electronic copy form the applicant, contact the Centre Manager or send with the stated information in
a separate document. If you have any problems please contact the Centre Manager.)
NAME OF REFEREE:
Your name
TITLE/STATUS:
Your title
ADDRESS:
Address
TELEPHONE:
Telephone
FAX:
Fax - not essential
E-MAIL ADDRESS:
Your email address
SIGNATURE: Enter your name here for an electronic submission - delete for hard copy signature
DATE: Enter date
PLEASE PROVIDE OFFICIAL STAMP OF UNIVERSITY/COLLEGE OR OTHER OFFICIAL
STAMP (on any signed hard copy)
612937965
Page 3 of 3
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