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UNIVERSITY-OF-DURHAM---GRADUATE-SCHOOL

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					                                                           DURHAM UNIVERSITY

                                                            GRADUATE SCHOOL

                                      CLAIM FORM FOR EXTERNAL EXAMINER FEES


EXAMINATION: ......................................................................................................................…………… ………………….
                           (Please give name of research degree candidate OR taught Postgraduate programme)

DATE OF EXAMINATION/ BOARD OF EXAMINERS MEETING: ........………../..........………/......…………

__________________________________________________________________________________
EXAMINER’S DETAILS

FULL NAME: .....................….................................................................................................………………………………… ………

ADDRESS: ............…....................................................................................................…………… …………………………...

……………...........…......................................................................................................……………… ………………………..

………………........…...............................................……………………POST CODE: ...........................……………………

NATIONAL INSURANCE NO: ..............................………………….DATE OF BIRTH: ...................…………………….
BANK DETAILS: direct payment to a bank account will be made. (ONLY COMPLETE ON THE INITIAL CLAIM OR IF
YOUR BANK DETAILS HAVE SUBSEQUENTLY CHANGED)


BANK NAME: ...............................................................................................................……………………………… ……….

BANK ADDRESS: ..........................................................................................................………………………………………

........................…….......................................................………………….POST CODE: .......................……………………...

SORT CODE: ..............................................................…………………ACCOUNT NO: .......................…………………...

___________________________________________________________________________________________________

DETAILS OF CLAIM *                                                                   __________________________

EXAMINER’S FEE                                                                   £                      :                       p

                                                                                     ____________________________



SIGNATURE: ........................................................................... DATE: .....………….....……………………………………….

* Please note that expense claims must be completed on an expense claim form which will be forwarded to the appropriate
department/school for processing.

___________________________________________________________________________
PLEASE RETURN TO: Administrator, Graduate School Office, Durham University, Mountjoy Research Centre, Block
2, Stockton Road, Durham, DH1 3UP
___________________________________________________________________________

OFFICE USE ONLY
 ID                 EXPENDITURE ALLOCATION
 NUMBER
                    COST         ACCOUNT                                AMOUNT
                                                                        £     P
                                 080607 (research)           FEES                            EXTERNAL
                    600011
                                 080605 (taught)                                             EXAMINER
                                                                                             INTERNAL
                    600011       080607                      FEES
                                                                                             EXAMINER (research examinations only)
 LEDGER             EXAMINERS EXPENSES
 DETAILS


CERTIFIED CORRECT FOR PAYMENT:                                                               DATE:
S:form/claim form fees

				
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