The UNIVERSITY of NEWCASTLE

Record of Academic DecisionNAME: STUDENT NUMBER:

PROGRAM:

PROGRAM CODE: CAMPUS/LOCATION:

Policy Information:

Rules Governing Admission and Enrolment [000966]

The Deputy Vice Chancellor (Academic) is authorised, in accordance with the policies and procedures approved by Academic Senate, to:

7.2.3 waive the academic requirement for an undergraduate or postgraduate applicant

Background:[Outline the details of the case and refer to the supporting documentation.]

Attachments:[List supporting documentation]

Recommendation: [To be amended as required.]

That in accordance with clause 7.2.3 of the Rules Governing Admission and Enrolment (000966), the Deputy Vice-Chancellor (Academic) waives the academic requirement for admission to the XXX [insert name of program] for applicant [insert applicant or student number.]

Admissions Officer: Date:Insert your name here

RECOMMENDED

NOT RECOMMENDED

Comments: [Insert as required]

Manager, Admissions and Enrolment orManager, International Admissions: Date:

Insert Manager’s name here

Please pass this form and all supporting documentation to DVC (A) as soon as possible

RAD Template 4 Amended 11.04.2012 – V2 1

DEPUTY VICE-CHANCELLOR (ACADEMIC) DECISION

Comments:

Approved – under delegated authority (A2.20)

Not approved (please state reason)

Deputy Vice-ChancellorAcademic: Date:

WHEN COMPLETED PLEASE RETURN SIGNED FORMS AND ALL SUPPORTING DOCUMENTATION TO: Insert your name and location here

RAD Template 4 Amended 11.04.2012 – V2 2

OFFICE USE ONLY – Program/Administrative Officer to process, sign and date

Student notified of outcome by: Date:

Official Transcript text added: Date:

Internal Transcript text added: Date:

Original documents to be returned to:Governance and Policy UnitSC3.19 Student Services CentreCallaghan Campus