Summer Graduation Ceremony
The Dome, Brighton
Monday 13, Tuesday 14, Wednesday 15, Thursday 16 and Friday 17
July 2015
Please complete this form and send to:
Sara Tooth, 2b26 Mantell Building, University of Sussex,
Falmer, Brighton, BN1 9RF.
Email: S.Tooth@sussex.ac.uk
General Information Please complete the boxes below:
The names you complete below will be those that are recorded on your certificate and on
University records unless you indicate otherwise. Once your award has been conferred we cannot
change your name on our records or on your certificate.
Please indicate accents, hyphens etc. Please use mixed case e.g. “Sussex”. Full names
should be supplied not initials.
Registration Number
Surname/Family name 
School (or equivalent) 
2.
Forenames 
Degree/Award 
Date of Birth
Programme 
Please PRINT your Address, Telephone No. and Email address where we can contact you regarding
Graduation.
PLEASE PRINT ADDRESS:
Address should be valid from now until 5 August 2014
Home Telephone No:
Email Address:
Mobile Telephone No:
3. Please indicate your intention by ticking the relevant boxes below:
I wish to attend graduation in person on 13 July 2015
 2.30 pm
I wish to attend graduation in person on 14 July 2015
 10.00 am  3.30 pm
I wish to attend graduation in person on 15 July 2015
 10.00 am  3.30 pm
I wish to attend graduation in person on 16 July 2015
 10.00 am  3.30 pm
I wish to attend graduation in person on 17 July 2015
 10.00 am  3.30 pm
Please
 relevant box

I do not require any guest tickets NB: I shall be unaccompanied
OR
I wish to purchase the following guest tickets (I note that only my graduand ticket is free,
all adult guest tickets at £25 each)
No. of
Tickets
Graduand’s ticket (free)

Total
Cost
1
NIL
Guest Tickets at £25.00 each **
NIL
Free Child guest tickets (under 12 years)*
* No ticket required for children under 2 years
Totals
£
Tickets ordered should be paid for on graduation day when you collect your tickets. Please
note that you can only pay by card or cash on the day.
OR
 I shall not be attending graduation in person on 13, 14, 15, 16 or 17 July 2015
I note that I will not be able to attend a later ceremony. My certificate should be sent to the above address
after the ceremony. I understand that if I do not provide an address by returning this form, the University
will hold my certificate until I do so.
4. Please  one of the boxes below:
ACADEMIC DRESS
Please note you must wear full academic dress in order to attend the Graduation Ceremony (see graduation web page).
It is your responsibility to hire or purchase your gown from the University robe makers Ede &
Ravenscroft Ltd (see Graduation web page for details on how to order your gown)
(Please  only one of the boxes below)
 I shall be hiring robes from Ede & Ravenscroft*
or
 I shall be purchasing robes from Ede & Ravenscroft*
*YOU must order your gown from Ede & Ravenscroft by 16 June 2014 at the latest)
Access needs and special seating requirements
We are committed to making the graduation ceremonies as inclusive as possible.
Please indicate below what you or your guests require to participate fully in this event e.g. wheelchair access, sign
language interpreter, special kind of seating request such as end of row seat etc.
Name of person requiring special arrangements:
Is the person the graduand or a guest?
Requirements:
If you have any queries about this, please telephone Sara Tooth on (01273) 877015.
NOTE: Due to limited wheelchair seating available in the Dome we can only arrange this for you if
we are informed in advance.
DEADLINE FOR RETURN OF FORMS
Monday 13 April 2015
After this date we will regard any student who has not returned this graduation form as having elected to
receive their certificate in absentia. It will not then be possible to attend in person at the ceremony.
Please send completed form to: 2b26 Mantell Building, University of Sussex, Brighton, BN1 9RF.
Email: S.Tooth@sussex.ac.uk Telephone: 01273 877015