Application to Graduate
1. For the December ceremony, please return this application or apply online at: http://i.waikato.ac.nz as soon as possible and
before 14 October 2016. For those who wish to graduate in absentia, please return this application as soon as possible to be
included in the next available ceremony/Council meeting. Closing dates for each ceremony/Council meeting are on the back of
this application form.
2. Please post to: The Graduation Coordinator, The University of Waikato, Private Bag 3105, Hamilton or hand it in at the Student
Centre, Level 2, Gate 5, Hillcrest Road, Hamilton or email [email protected].
3. All applications will be acknowledged.
4. Please note that any outstanding cross-crediting must be completed before your Application to Graduate can be finalised. If
you received notification of this during the year and have not attended to it please do so immediately.
5. Please note that any outstanding fees/fines must be settled before your Application to Graduate can be finalised (no later than
14 October 2016).
6. If the Graduation Office does NOT receive your Application to Graduate form by 14 October 2016, your conferment will
automatically be deferred for up to a year
Your qualification will be conferred in the name on your official University record, which is listed below. If you have officially
changed your name and wish to have your qualification conferred or awarded under your new name you must attach verified
documentary evidence of your name change, e.g. marriage certificate or deed poll certificate, passport, birth certificate
Family name:
Given names:
Punctuation: Please indicate if lower case lettering or special punctuation is required (e.g. Macdonald, Renée).
Pronunciation: If special pronunciation is required, please write it phonetically here.
Asian Names: Please indicate the order in which your names should appear on your certificate.
List below the school/faculty you are enrolled in and the qualification being awarded by the University.
School of Studies
Qualification
If applicable, state Honours and Class of Honours or Distinction
Student ID Number:
Current address:
Postcode:
Phone Number:
PTO
Method of Conferment
Please indicate how you wish to have your qualification conferred (indicate with a )
held on Te Kohinga Mārama Marae, Hamilton

Tuesday 13 December 9.30am
Arts and Social Sciences, Computing and Mathematical Sciences, Education, Law,
Management, Māori and Pacific Development, Science and Engineering
held at Claudelands Events Centre, Hamilton

Wednesday 14 December
Arts and Social Sciences, Computing and Mathematical Sciences, Education, Law,
Management, Māori and Pacific Development, Science and Engineering
(Time of ceremony to be confirmed closer to December)
Other:
 In absentia
If you do not wish to attend a ceremony, your qualification will be conferred at the next available council ceremony and your certificate will
be sent to you by post. The available council ceremonies for 2016 are as follows:
13 July 2016 July Council Graduation (Closing date: 15 June 2016)
24 August 2016 August Council Graduation ( Closing date: 27 July 2016)
 Defer to April 2017
Ticket Requests
Graduands do not require a ticket. Four guest seats are reserved per graduand. Extra tickets will be available for purchase closer
to the ceremony
Tickets required
(up to 4)

If you are a University staff member please indicate, by ticking this box, if you wish to be seated in stage

Declaration
The University of Waikato undertakes to collect, use and disclose personal information in accordance with the Privacy Act 1993.
The University of Waikato publishes a graduation programme which contains a list of graduands and the qualifications to be
conferred. As a graduate of the University of Waikato you will automatically become a member of the Alumni Association.
I declare that I have completed the requirements for this degree/diploma/certificate and that the information I have provided on this
form is true, accurate and complete to the best of my knowledge.
Under the Privacy Act 1993, I acknowledge that the University of Waikato may collect, hold and use the information provided in this
form as well as relevant information about me elsewhere within the University record system for administrative purposes related to
conferring my qualification(s), organising graduation and for future bona fide alumni and University purposes only.
Date
Signature