REQUEST TO APPROVE A STUDENT FEE DISCOUNT AND / OR A STIPEND (SDF) Select College / Department Person making the request (name & contact) Date of Request: Student name Student Supervisor: Student ID number (Mandatory): Student Type Home EU Overseas / International Mode of Study Campus Based Distance Learning Programme Title STUDENTSHIP DETAILS: Source of funding for the funded studentship GTA Research Council (please select one option) Case Studentship College/Department Funded Other - please state Justification for the discounts i.e. Scheme Name & Reference, or Research Council FEES DISCOUNT DETAILS: Fee discount to be applied & charge code (if applicable) Agreed fee to be paid by student Funding START Date: Funding END Date: Total fee discount that is to be funded by (select from drop down list), for each specify % & Charge Code: _______% Charge Code : _______% Charge Code : _______% Charge Code : STIPEND DETAILS: Agreed stipend Amount: Total stipend that is to be funded by (select from drop down list), for each specify % & Charge Code: _______% Charge Code : _______% Charge Code : _______% Charge Code : Studentship Funding Start date: Studentship Funding End date: GRANT REFERENCE / CASE PARTNER (if applicable) Any Other Information Authorised by: Departmental Manager / HOD / DoA / Head of College Verified by College Accountant on behalf of College Management Board
REQUEST TO APPROVE A STUDENT FEE DISCOUNT AND / OR A STIPEND (SDF) Select College / Department Person making the request (name & contact) Date of Request: Student name Student Supervisor: Student ID number (Mandatory): Student Type Home EU Overseas / International Mode of Study Campus Based Distance Learning Programme Title STUDENTSHIP DETAILS: Source of funding for the funded studentship (please select one option) GTA Research Council Case Studentship College/Department Funded Other - please state Justification for the discounts i.e. Scheme Name & Reference, or Research Council FEES DISCOUNT DETAILS: Fee discount to be applied & charge code (if applicable) Agreed fee to be paid by student Funding START Date: Funding END Date: Total fee discount that is to be funded by (select from drop down list), for each specify % & Charge Code: _______% Charge Code : _______% Charge Code : _______% Charge Code : STIPEND DETAILS: Agreed stipend Amount: Total stipend that is to be funded by (select from drop down list), for each specify % & Charge Code: _______% Charge Code : _______% Charge Code : _______% Charge Code : Studentship Funding Start date: Studentship Funding End date: GRANT REFERENCE / CASE PARTNER (if applicable) Any Other Information Authorised by: Departmental Manager / HOD / DoA / Head of College Verified by College Accountant on behalf of College Management Board
Studentship%20Discount%20Form%20SDF.docx