Brian Smith Memorial 499/599 – Departmental Approval Form
B R I A N S M I T H M E M O R I A L 499/599 D E P A R T M E N T A L A P P R O V A L F O R M
Any candidate for a Brian Smith Memorial 499/599 Scholarship who is not yet enrolled in a 499 or 599 paper
must ensure the completion and submission of this form.
The completed form must be submitted by one of the following means:
By email:
By hand:
To [email protected]
The Scholarships Office
Level 1, The Student Centre
(opposite Bennetts Bookstore)
By post:
The Scholarships Office
The University of Waikato
Private Bag 3105
HAMILTON 3240
The form must be received by the Scholarships Office by the relevant closing date: 31 March or 31 August.
APPLICANT’S DETAILS
Last name:
First name(s):
ID Number:
Telephone number:
Email:
DEPARTMENTAL APPROVA L
I confirm that this student is eligible to enrol in a 499 or 599 Report of an Investigation:
Department
Title:
Name:
Date:
Signature: