Graduate Research School

College of Engineering Office Notification of withdrawal from Masters studies

Date Last Modified: September 2017

Please complete this form if you wish to withdraw from your Masters studies at UC. Where possible please discuss your decision with your supervisors and/or department/school Postgraduate Coordinator prior to submitting this form. When complete please send the form as an email attachment to [email protected]. The information provided on this form is used for data collection purposes only. If you wish to discuss your withdrawal with the Assoc. Dean of Engineering (Postgraduate) please email ([email protected]) for an appointment. Please be aware the Student Support are available to assist you with your transition away from your Masters studies. They are located in Room 214, Level 2 in the Puaka-James Hight (Library) Building or can be contacted on 03 364 2350 (internal extension 6350) or [email protected] Candidate Details Candidate’s name:

UC Student ID:

Programme of study: ME / MEFE / MET / MHIT

Department/School:

Senior Supervisor:

Date withdrawal to take effect from:

Student signature and date: Reasons for Withdrawal Please check the appropriate box(es) below

Lost Interest Financial Work Commitments

Personal Change of Topic Research Problems

Transfer to another University Transfer to another degree New Career Opportunity

Health Other (please detail) ______

Could you please elaborate on your reasons for withdrawing below:

I am a Masters Scholarship recipient: Yes No

Name of scholarship (if applicable):