Student’s Consent Form

Personal Information

1. Full Name: .................................................................
2. Student ID Number: ......................................................
3. Contact Information:
   • Phone: ............................................................
   • Email: ............................................................
4. Program of Study: .....................................................
5. Year of Study: ........................................................
6. Title of the Research: ................................................

Declaration

I, .......................................................... (Name), confirm that the information provided in this application is accurate and complete. I understand that any false information may result in the rejection of my application.

Date: ......................    Student’s Signature: ...................................

Supervisor Information

1. Supervising Lecturer’s Name: ..........................................
2. Department: ............................................................
3. Contact Information:
   • Phone: ............................................................
   • Email: ............................................................
4. Please provide a small recommendation on the research paper submitted by the student:
   ..............................................................................................................
   ..............................................................................................................
   

Supervisor’s Approval

I, .......................................................... (Supervising Lecturer’s Name), confirm that I will supervise the student named above for this project/application. I endorse their submission and confirm that they meet the requirements for this opportunity.

Date: ......................    Lecturer’s Signature: ...................................

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