Faculty of Science Division of Postgraduate Academic Management FIRST SUBMISSION OF DOCTOR OF PHILOSOPHY/ MASTER OF SCIENCE FOR EXAMINATION Name of Candidate: Person Number: Qualification registered for: Supervisor / Co-Supervisor: School: Title of Thesis/Dissertation/ Research Report: Please answer all questions by ticking the appropriate box 1. Did the research involve animal experimentation? If YES, please certify that clearance was obtained from the Animal Ethics Committee. Clearance Number: 2. Did the research involve the use of human subjects? If YES, please certify that clearance was obtained from the relevant Ethics Committee. Clearance Number: 3 Did the research involve using genetically modified organisms or substances? If YES, please certify that clearance was obtained from the relevant Biosafety Review Board. Clearance Number: 4. Have aspects of the research been published? If yes please provide details. YES NO 5. Have aspects of the research been presented at a conference/workshop? If yes please provide details. Candidate’s Declaration: 1) I hereby submit my PhD Thesis/ MSc Dissertation / MSc Research Report for examination. (Delete whichever is not applicable) 2) I confirm that my signed declaration in terms of Rule G9.7 is included in each copy of the Thesis/ Dissertation/Research Report. 3) I have checked all copies of my Thesis/ Dissertation / Research Report and declare that no pages are missing or poorly reproduced. 4) I hereby submit a CD containing a PDF version of my submission for examination and ___________ bound copies. CANDIDATE’s Signature: ___________________________ Date: _____________________ PLEASE NOTE: o You will not graduate until all your fees have been paid in full. o You are required to complete a postgraduate amendment form to change personal details and information pertaining to your submission eg. changes to title. o Your first submission must include an electronic copy of Thesis/Dissertation/ Research Report in PDF format and an acquiescence form. Your supervisor will inform you if you need to submit bound copies. o You are advised to contact the Faculty Office for final submission requirements. Contact Details for Postgraduate Administration, Faculty of Science: Email: science.msc@wits.ac.za or science.phd@wits.ac.za