Bangor University - External Examiners Claim Form
Externally Validated Undergraduate and Taught Postgraduate Programmes
IMPORTANT - PLEASE READ THIS INFORMATION FIRST
Use this form (PYEE) for External Examiners payments via the payroll only.
This form should be used for externally examining the following:
Undergraduate programmes
Taught Master’s programmes - Part one and dissertations
DClinPsy, DHealthcare, DMin and EdD programmes - Part one and theses.
DO NOT use this form for:
Externally examining PhD, MPhil, Master’s degrees by Research theses.
TRAVEL EXPENSES:
Public transport should be used where practicable, and standard, special reduced and cheap day fare should be used
where available. (original receipts must be produced).
Where reasonable public transport facilities do not exist, or a substantial saving in time could be effected, a car
mileage allowance may be claimed at the rate of 40p per mile. Examiners should ensure that their policy covers the
use of their car on business.
Air travel within the UK may be permitted in exceptional circumstances. This MUST be agreed in advance with the
Assistant Registrar (Quality Assurance).
SUBSISTENCE ALLOWANCES:
All claims must be supported by relevant receipts otherwise payment will be refused. Please note photocopies
of receipts are not acceptable.. The actual amount of expenditure incurred on subsistence whilst undertaking
external examining on behalf of the University will be reimbursed, up to the following MAXIMUM amounts.
Accommodation
Overnight
Maximum for each night absent from home to cover
also an absence up to 24 hours
16 plus
Maximum for an absence from home of more than 16
hours but not including a night
£18.90
12 to 16
Maximum for an absence from home of more than 12
hours but not more than 16 hours, not including a night
£13.80
8 to 12
Maximum for an absence from home of more than 8
hours but not more than 12 hours, not including a night
£10.70
4 to 8
Maximum for an absence from home of more than 4
hours, but not more than 8 hours, not including a night
£5.10
Subsistence
£65.00
£27.00
POSTAGE/CARRIAGE EXPENSES:
Any expense incurred in the transfer of theses, scripts or other examination material should be specified and
receipts provided.
NOTE TO EMPLOYING DEPARTMENT
The identity check is mandatory for all claim forms. Please ensure that all documents are photocopied and retained in
the Department. The photocopies must clearly show the necessary information including type of document, name
of the person, and expiry dates or limitations or reference numbers and photographs where possible.
The employing department should also ensure that the documents relate to the person presenting them, by checking
photographs and dates of birth, where possible.
For further advice or guidance on the identity check, please contact the Human Resources Department.
This form should be signed by the External Examiner and then returned for approval to:
Dr Sarah Jackson, Academic Registry, Bangor University, College Road, Bangor, Gwynedd, LL57 2DG.
Pay No
Bangor University - External Examiner Claim Form
PAYEE DETAILS — You must complete all the boxes in this section fully. If you do not, the form will be returned to you.
Title (Mr/Mrs etc)
Date of Birth
National Insurance No.
Full Name
Home Address (including Postcode)
Country of origin (including Isle of Man, Channel Islands)
Passport No. (if available)
STARTER DECLARATION - Please tick A B or C (one only). Please note must only be completed if this is your first claim.
A - This is my first job since the last 6th April & I have not been receiving taxable Jobseekers Allowance, Employment &
Support Allowance or taxable Incapacity Benefit or a state or occupational pension.
Yes / No
B - This is now my only job, but since last 6th April I have had another job, or have received taxable Jobseeker’s Allowance,
Employment & Support Allowance or taxable Incapacity Benefit. I do not receive a state or occupational pension.
Yes / No
C - I have another job or receive a state or occupational pension
Yes / No
PAYMENT DETAILS— You must complete all the boxes in this section fully. If you do not, the form will be returned. Payment
will be made on the last working day of the month into a UK bank account
-
Your Bank Sort Code
Your Bank Account Number
-
Partner Institution
Programmes Examined
THE FEES - You must complete all the boxes in this section fully. If you do not, the form will be returned. Enter each fee on a
separate line with the fullest details. All payments on the form will subject to tax and national insurance.
Date
start
Date
finish
Description of Work
Cost Code
Fee
to be Paid
External examining UG and/or PGT part one, including attendance at BoE
Moderating MA/MSc/MRes dissertations. Please state no. of dissertations:
Examining DClinPsy/EdD/DHealthcare theses. Please state no. of theses:
Total Fees Claimed £
MILEAGE CLAIM - You must complete all the boxes in this section fully. If you do not, the form will be returned. Enter each business
journey on a separate line. Use a separate piece of paper if there is insufficient room.
Date
Travel from
Travel to
Purpose of journey
Cost Code
Miles
Rate (£)
Amount to
be Paid
0.40
0.40
0.40
0.40
Total Mileage Claimed £
OTHER EXPENSES - You must complete all the boxes in this section fully. If you do not, the form will be returned. If applicable, list
each expense. All expenses must be supported by original receipts.
Date
Description of expense
Cost Code
Total Expenses Claimed £
Amount
Recruitment Monitoring – please tick as appropriate
Welsh 
Language for Correspondence:
English 
Gender:
Male 
Female 
Ethnicity (please tick appropriate box)
White 
Gypsy or Traveller 
Black or Black British Caribbean

Black or Black British African

Other Black background 
Asian or Asian British Indian 
Asian or Asian British Pakistani

Asian or Asian British Bangladesh

Chinese 
Other Asian background 
Mixed White & Black Caribbean

Mixed White & Black African 
Mixed White & Asian 
Other Mixed background 
Arab 
Other Ethnic background 
Nationality: (please specify)
National identity is different to ethnicity & nationality and can be based on many things including culture, language, ancestry and reflects how an
individual classifies themselves. For example, Welsh, English, Scottish, Irish etc.
British

Welsh

English
Do you consider yourself to have a disability?

Irish

Scottish


Other
If yes, please indicate category below
Two or more impairments and/or disabling medical conditions
A specific learning difficulty such as dyslexia, dyspraxia or AD(H)D
General learning disability such as Down’s Syndrome
A social/communication impairment such as Asperger’s syndrome/other autistic spectrum disorder
A long standing illness or health condition such as cancer, HIV, diabetes, heart disease or epilepsy
A mental health condition such as depression, schizophrenia or anxiety disorder
A physical impairment, mobility issues such as difficulty using arms or using a wheelchair or crutches
Deaf or serious hearing impairment
Blind or a serious visual impairment uncorrected by glasses
A disability, impairment or medical condition that is not listed above.
Can you understand Welsh?
Yes 
No 
Can you write in Welsh?
Yes 
A little 
Not at all 
Can you read Welsh?
Yes 
A little 
Not at all 
Do you speak Welsh?
Yes 
A little 
Not at all 
CLAIMANTS SIGNATURE
I certify that I have undertaken the work for which payment is requested and that the expenses have been actually and necessarily
incurred in conducting that work. I understand that the University is obliged to deduct Income Tax and National Insurance from my
payments and that Basic rate will be assumed unless I provide a P45/P46/P38s before the payment is made.
Signed:
Date:
Form ref PYEE available from the Academic Registry
EMPLOYING DEPARTMENT
Name of Raising Department
Contact Name in Department
Contact Telephone No
In the event of a query, this will enable us to contact the right administrator in the employing department .
Academic Registry
Sarah Jackson
01248 382429
AUTHORISING SIGNATURE
I certify that I have checked the relevant documentation for this employee, I am satisfied that the individual has the
necessary eligibility to work in the UK to undertake this employment and that photocopies of their documents have been
retained for inspection if required.
I have checked the details on the above claim and confirm that the work has been undertaken and I approve the payment. I
understand my obligations as an authorised signatory under the Financial Regulations. I am not connected or related
to the claimant.
Signed:
Name:
Date:
This form should be signed by the External Examiner and then returned for approval to:
Dr Sarah Jackson, Academic Registry, Bangor University, College Road, Bangor, Gwynedd, LL57 2DG.