External Examiner

Extension of Appointment Form

This form should be used where you wish to extend the appointment of an external examiner for an

exceptional fifth year by mutual agreement with the external examiner.

SEB Details

Faculty	School/Institute
Examination Board
Exam Board Chair Click or tap here to enter text.	Deputy Exam Board Chair Click or tap here to enter text.
SEB Secretary/Professional Serviced contact (s) Click or tap here to enter text.

Details of External Examiner

Name and Title of Nominee: Click or tap here to enter text.	Original Appointment date:
Current Institution: Click or tap here to enter text.
Has this nomination been made in consultation and agreed with the Chair of the Exam Board?

Rationale for the extension of the appointment

The SEB should provide a clear explanation for requesting an extension. Extensions are permitted in exceptional circumstances only such as where a programme is coming to an end.

Click or tap here to enter text.

Is the Chair of the Exam Board satisfied that, to the best of their knowledge, there are no conflicts of interest which prevent the extension of the external examiner's contract for a fifth academic year?

Click or tap here to enter text.

Completed forms should be returned to ARCS - Alice de Havillan - with a copy of the nominee’s CV.

Approval (Dean and ARCS use only)

Dean of Education:

Comments of Dean

Click or tap here to enter text.

Academic Secretariat

Date of approval: Click or tap to enter a date.

Start date: Click or tap to enter a date.