Please provide below, or in a separate letter, details of your request for suspension of studies. Note: Any details are treated in confidentiality and are for the purpose of giving the relevant committee enough information to consider your request. These details will not be disclosed to Student Finance England. SECTION C STUDENT DECLARATION: I have read the guidance notes and I understand the implications of suspending my studies at the University. Student Signature: Date: PLEASE SUBMIT THIS FOM TO THE SECRETARY: Beverley Ireland Departmental Approval: In consultation with: Director of Undergraduate Medical Education Name:
Please provide below, or in a separate letter, details of your request for suspension of studies. Note: Any details are treated in confidentiality and are for the purpose of giving the relevant committee enough information to consider your request. These details will not be disclosed to Student Finance England. SECTION C STUDENT DECLARATION: I have read the guidance notes and I understand the implications of suspending my studies at the University. Student Signature: Date: PLEASE SUBMIT THIS FOM TO THE SECRETARY: Beverley Ireland Departmental Approval: In consultation with: Director of Undergraduate Medical Education Name:
Suspension%20of%20Studies%20Form%202015-16.docx