PG 1  
 
 
 
Notification of Proposed Research Topic and Supervisor 
 
 
Faculty 
 
Department 
 
Qualification for which student is registered  
 
Offering type 
 Full time registration 
 
Part time registration 
 
Prior qualification 
 
 
Student Surname   
Student No. 
 
First Names 
 
Title (Mr, Ms) 
 
Postal Address 
 
Tel (W) 
Tel (H) 
Cell 
Fax 
e-Mail 
 
 
 
 
 
Full                   
 
Provisional title of 
 
Partial 
 
Dissertation/Thesis 
Dissertation/Thesis 
 
Proposed Supervisor 
(if available)
 
 
 
Present 
Position 
 
 
Qualifications 
 
 
Supervisor comments 
 
 
Postal Address 
Tel (W) 
Tel (H) 
Cell 
Fax 
e-Mail 
 
 
 
 
 
Area of expertise 
 
Institution 
 
Supervision experience 
 
Recent publications 
 
(maximum 6) 
Date of Faculty Approval  of  Supervisor   
 
 
 
Proposed Co-Supervisor   
(if available)
 
 
Position 
 
Present Qualifications 
 
 
Co-Supervisor comments   
1 
Form PG 1 – 2017                                                                                                                       Updated 14/01/2016 

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PG 1  
 
Postal Address 
Tel (W) 
Tel (H) 
Cell 
Fax 
e-Mail 
 
 
 
 
 
Area of expertise 
 
Institution 
 
Supervision experience 
 
Recent publications 
 
(maximum 6) 
Date of Faculty Approval  of  Co-Supervisor 
 
 
 
STUDENT DECLARATION: 
I agree to: 
 
negotiate supervision agendas; 
 
communicate about questions, challenges, problems (usually in short e-mails); 
 
produce work at agreed intervals and work steadily; 
 
send work at agreed intervals for supervisor input; 
 
any further conditions as attached to this form (delete if not applicable); 
 
 
other ___________________________________________________ 
 
Signed: __________________________ 
Date: _______________________    
Student  
 
SUPERVISOR DECLARATION: 
I agree to: 
 
 
negotiate supervision agendas; 
 
advise on the research process; 
 
respond to short questions at agreed intervals (e-mail); 
 
read work submitted and comment, advise, determine agenda, action points; 
 
any further conditions as attached to this form (delete if not applicable); 
 
other ____________________________________________________ 
 
 
PLEASE  NOTE  THAT  NOT  ALL  DETAILS  (E.G.  SUPERVISOR/S)  OR  SIGNATURES  MAY  BE 
AVAILABLE AT THE TIME THE FORM IS SIGNED BY THE HOD:  KINDLY UPDATE WHEN/AS 
DETAILS ARE AVAILABLE. 
 
 
Signed: ___________________________Date: ___________________ 
(Supervisor) 
 
 
Signed: ___________________________Date: ___________________ 
(Co-Supervisor) 
 
 
Signed: ___________________________Date: ___________________ 
(HoD) 
 
 
Signed: ___________________________Date: ___________________ 
(Chair of Faculty Research Committee) 
 
2 
Form PG 1 – 2017                                                                                                                       Updated 14/01/2016 

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PG 1  
 
FRC approval : Date of minutes in which recorded 
 
 
This form must be attached to the relevant registration forms and proof of entry requirements. 
 
Faculty 
 
Routing  
Student 
 
Supervisor 
 
HoD 
 
 
FRC 
Officer 
 
For Registration 
 
 
 
3 
Form PG 1 – 2017                                                                                                                       Updated 14/01/2016 

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