Internal Examiner Information Form

📧 Message to Potential Examiner

Dear Potential Internal Examiner,

Thank you for agreeing to serve as an internal examiner for a research degree thesis at Quest International University (QIU). To facilitate the nomination process, please complete this form and return it to the supervisor who contacted you.

Note: As an internal examiner, your CV is not required (already on file).

👤 Section A: Personal Information

Full Name *

Email Address *

Phone Number *

Faculty/Department at QIU *

Highest Qualification *

Field/Specialization *

🔬 Section B: Research Activity & Examination Experience

Please provide accurate numbers for the following metrics:

Number of peer-reviewed publications in last 3 years *

Number of Master's candidates supervised to completion *

Number of PhD candidates supervised to completion *

Number of Master's theses examined *

Number of PhD theses examined *

⚠️ Section C: Availability and Conflict of Interest

Please indicate the following by ticking √ or X

I am available to review the thesis and provide my report within 6-8 weeks of receiving it

Conflict of Interest Declaration:

I confirm that I have NO conflict of interest

I have NOT supervised the candidate

I have NOT co-authored publications with the candidate in the last 3 years

I have NOT co-authored publications with the supervisor(s) in the last 3 years

I have NO family relationship with the candidate or supervisors

I have NO close personal friendship with the candidate or supervisors

I have NO financial interest in the candidate's research outcomes

I am NOT from the candidate's previous institution (if applicable)

I have NOT examined the candidate's previous thesis (if applicable)

I have NO collaboration on current research projects with the supervisory team

I have NO other conflicts that could compromise my objectivity

⚠️ If you have answered NO to any of the above statements, please contact the supervisor immediately to discuss potential conflicts of interest before proceeding.

📜 Section D: Examiner Declaration

I confirm that all the information provided above is accurate and complete to the best of my knowledge.

Full Name *

Date *

I hereby confirm and declare that I have read, understood, and agree to all the statements made in this form. I accept the responsibility to serve as an internal examiner for the thesis examination at Quest International University.