POSTGRADUATE
F O R M PG R 2
PLEASE NOTE
A D MI S SI O N T O A D O C T O R A L PR O G R A MM E
 This form must be typed. Handwritten forms will not be accepted.
 Double clicking on the check boxes enables you to change them from not-checked to checked.
 Applicants to the PhD complete Section 1
 Applicants to a Professional Doctorate complete Section 2
 Applicants to the School of Engineering are required to submit 2 academic references
Student ID
Faculty
Name
School/Dept
Ethnicity
Discipline
Residency
Citizen/PR
International
Programme
Proposed
Start Date
Expected
Completion
Date
Working Title
Please indicate where you will be based during your studies:
(This does not include trips for data collection)
City:
Country:
STUDY HISTORY
Yes
No
Yes
No
Do you hold any scholarships/awards/sponsorship by an external organisation?
Yes
No
Are fees included in the scholarship?
Yes
No
Yes
No
Have you ever been enrolled as a doctoral student prior to this application?
Topic
Institution
Department
Period of
Candidature
Was the degree conferred?
Reason for non-conferment (if applicable):
SCHOLARSHIPS
Give the name(s) of scholarships/awards/sponsors
LANGUAGE
Do you wish to present your research in a language other than English?
If yes, state which language
PGR1 – Postgraduate Research Proposal
V1.0 Update Apr 13
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ADDITIONAL INFORMATION
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Expected Completion: PhD candidates are normally expected to complete within 4 years; applications for extensions will be considered
at the end of this period. Professional doctorate candidates are normally expected to complete their thesis within 3 years.
External parties: when working with external parties, contractual arrangements should be in place to clarify your rights and
responsibilities. The University Research Office is responsible for such contracts and is available to assist and answer questions.
Conflicts of Interest: Please refer to the current version of the Postgraduate Handbook. This section establishes a set of questions to help
identify any potential conflicts. If a conflict is identified, the supervisory agreement should outline how this will be managed.
Confidential Material: If the subject matter of the research is confidential and may require an embargo once completed this should
normally be identified when the PGR09, full research proposal, is completed. Please refer to the current version of the Postgraduate
Handbook. Your primary supervisor must supply a justification for confidentiality to the University Postgraduate Board.
Intellectual Property: Please refer to the current version of the Postgraduate Handbook. If you or your supervisor have reason to believe
that Intellectual Property implications will arise out of independent research, your primary supervisor is responsible for discussing this
with you and liaising with the University’s commercialisation arm – AUT Enterprises Ltd.
Confirmation of Candidature: PhD candidates are normally expected to submit their PGR9 (Full research proposal) within 12 months from
the date of first enrolment. Professional doctorate candidates are normally expected to submit their PGR9 on completion of their
coursework.
Ethics Approval: with the exception of pilot studies, ethics approval is not required until the PGR9 stage. please seek advice from the
Ethics Secretariat (AUTEC)if you have any queries on ethics requirements.
Postgraduate Handbook: the postgraduate handbook is the overarching guide to postgraduate academic policies and procedures.
APPROVALS (OFFICE USE ONLY)
PHD SUPERVISOR SUPPORT STATEMENTS
Please comment on the scope and feasibility of this project as a PhD?
Please comment on the candidate’s ability to complete a PhD within the normal timeframes? (4 years)
Please identify the potential resources and budget implications for this project.
PROFESSIONAL DOCTORATE ADVISOR SUPPORT STATEMENT
Please comment on the suitability of this candidate for doctoral study.
SUPERVISOR / ADVISOR DECLARATION (OFFICE USE ONLY)
As supervisors, we are committed to ensure that adequate and appropriate supervision will be provided
according to University policy and any/all issues relating to conflict of interest with respect to the candidate
and/or the project will be declared and managed appropriately.
Primary Supervisor/Advisor
Supervised PhD to Completion
Signature
Date
PGR2 – Admission to a Doctoral Programme
V1.0 Update Apr 13
Yes
No
Page 2 of 5
Second Supervisor/Advisor
Supervised PhD to Completion
Signature
Date
Additional Supervisor /
Mentor/Advisor
Supervised PhD to Completion
Signature
Date
Yes
No
Yes
No
Role of
Additional Supervisor/Advisor
ENTRY CRITERIA (OFFICE USE ONLY)
Admitting Qualification
Institution
Country
Length (years)
Year Granted
Honours (equivalent)
Research Component
Yes
No
Research Methods
Yes
No
Yes
No
NARIC
Points/
Total
Points/
Total
Other Qualifications
Additional
Info/Consideration
English Language
Evidence of English
Language
Is English the applicant’s first language
IELTS
Previous PG Study in English
TOEFL
Other (supply Evidence/Justification)
RESOURCE SIGN OFF (OFFICE USE ONLY)
HOD/HOS (name)
Confirm Resources
Available for this project
Signature
Date
Yes
No
FACULTY APPROVAL (OFFICE USE ONLY)
Recommendation
That this applicant be admitted to the above AUT Doctoral Programme
Condition(s)
Associate Dean
(Signature)
Faculty PGC Approval Date
UNIVERSITY POSTGRADUATE BOARD APPROVAL (OFFICE USE ONLY)
Approval
I approve admission to the above AUT doctoral programme with any conditions as listed above
Name
Title
Signature
UPB Approval Date
PGR2 – Admission to a Doctoral Programme
V1.0 Update Apr 13
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SECTION 1
DOCTOR OF PHILOSOPHY(PhD) RESEARCH PROPOSAL
Please write a short, 1000 word max, provisional proposal using the following headings as a guide. Your proposal
should be in 12-point font, single spaced and written in lay English for a general audience under the headings as
indicated. You may delete the italic text under each header (including these instructions).
Topic/Research Question:
Research Benefits/Significance:
Provide a brief outline (2-3 sentences) of the benefits/effects your research may produce –for whom, why and in
what way?
Design/Plan of the Study:
Provide a brief outline of the potential methodology and methods/research technique(s) to be employed in the
study.
Timeline (normally 4 years):
RESEARCH PUBLICATIONS
Provide details of any original research and/or publications for publication/abstracts you have authored/co-authored and
indicate the percentage of your contribution, e.g. sole (100%), joint (50%), multi-authorship (20%); the nature and standing of
the journal/conference; whether in press (accepted for publication) or published.
ADDITIONAL INFORMATION
State details (if any) and attach evidence (if any) of any additional information which may support your application.
DECLARATION BY APPLICANT
I declare that the information provided by me in this application is true and complete. I recognise that it is my responsibility
to provide all necessary documentation to support my application and I authorise Auckland University of Technology, where
necessary, to obtain further relevant documentation and to verify my qualifications as detailed in this application. I
acknowledge that AUT reserves the right to vary or reverse any decision regarding admission to candidature on the basis of
this application. I agree that I will endeavour to complete this programme within 4 years. I have read and understand the
conditions of candidature outlined in the current Postgraduate Handbook and am prepared to accept them in full. I have
read and understand the supervisors’ support statements as attached to this application.
Applicant’s signature:
PGR2 – Admission to a Doctoral Programme
Date:
V1.0 Update Apr 13
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SECTION 2
PR OF E S SI ON A L DO CT OR A T E R E S EA RC H CO NC E P T ( D H Sc Ed D)
Include an outline of the area of research that will be the focus of your doctoral programme and the
significance of the proposed area. The word limit is 1000 words.
Area of Research:
Significance of Proposed Area of Research:
Timeline (normally 3 years for the thesis component):
RESEARCH PUBLICATIONS
Provide details of any original research and/or publications for publication/abstracts you have authored/co-authored and
indicate the percentage of your contribution, eg sole (100%), joint (50%), multi-authorship (20%); the nature and standing of
the journal/conference; whether in press (accepted for publication) or published.
ADDITIONAL INFORMATION
State details (if any) and attach evidence (if any) of any additional information which may support your application.
DECLARATION BY APPLICANT
I declare that the information provided by me in this application is true and complete. I recognise that it is my responsibility
to provide all necessary documentation to support my application and I authorise Auckland University of Technology, where
necessary, to obtain further relevant documentation and to verify my qualifications as detailed in this application. I
acknowledge that AUT reserves the right to vary or reverse any decision regarding admission to candidature on the basis of
this application. I agree that I will endeavour to complete this programme within 3 years (FTE) after completing the coursework
component. I have read and understand the conditions of candidature outlined in the current Postgraduate Handbook and am
prepared to accept them in full. I have read and understand the supervisors’ support statements as attached to this application.
Applicant’s signature:
PGR2 – Admission to a Doctoral Programme
Date:
V1.0 Update Apr 13
Page 5 of 5