FACULTY OF SCIENCE
Te Wahanga Putaiao
APPLICATION FOR SUSPENSION / EXTENSION OF POSTGRADUATE PROGRAMME
* Please note that your Supervisor and Head of School must support this application by signing this form *
**For retrospective suspensions please include relevant documentation and a letter of support from your Supervisor**
***Extension requests require a timeline for completion to be attached***
Suspensions and extensions are granted in whole months only
Name:
Student ID:
Course:
Principal Supervisor:
Length of Suspension / Extension required: From
Circle one
to
Please indicate below the reason(s) for your suspension / extension request:
I understand that I am not eligible to use School facilities or access supervision while on suspension.
Signature:
Date:
Signature of Principal Supervisor:
Signature of Head of School:
Faculty Office Use Only
Approved
Not approved
Signed:
Associate Dean (Students)
Date:
Comments: