Doctorate in Clinical Psychology (DClinPsy)

In completing this form I confirm that I have read and acted on the guidance and advice provided above, and understand the consequences of interrupting. I would like to continue with my interruption request
You should only complete this form if you are a DClinPsy student.
To start this process, please enter your Royal Holloway email below:
Email
Do you want to proceed with your interruption now?
If you answer ´No´ you will not be able to progress further with this form

If you are postgraduate research student and wish to interrupt your studies, please complete sections A to C below.
Section A - Student details
First name
Last name
Student number
Programme of study
Supervisor
Do you require a visa to study in the UK?
Visa type

Section B - Interruption details
It is not possible to backdate this request unless due to serious extenuating circumstances. Please ensure that you have read and understood the Fee Liability information, as well as any funding implications that may apply. These dates will be checked by the Doctoral School and you will be liable for fees up to the point that you were registered at the College.
I will start my interruption on
I will resume my studies on:
Please select your reason/s for requesting this period of interruption
BereavementEmployment/placement/internshipHealth (physical or mental)FinancialCaring responsibilitiesCovid-19Other
Are you requesting a Suspension of regulations?
YESNO
If you answered YES above, please confirm the type of Suspension of regulation being requested.
Interruption over 24 monthsRetrospective interruption
Please explain the rationale for your request
Supporting evidence
All requests for an interruption of studies must be supported by written evidence (e.g. medical note) with sufficient detail to support the nature of the request. Please note that failure to provide appropriate evidence will delay the process and is likely to prevent the approval of the request.
Upload Evidence
Please provide a detailed account of your progress to date in each aspect of your course, e.g. teaching completion, academic submissions, progress on your research project, placement completion and submissions
Please provide a detailed list of outstanding requirements for each aspect of the course, e.g. teaching, academic submissions, research project, placement and submissions

Section C - Student's confirmation
Please select as appropriate
Please select as appropriate
Terms & Conditions
I confirm that I have read and completed all required sections of this form and understand the implications of requesting a period of interruption.
I understand that:
My tuition fee liability will be calculated in line with the verified date of the start of my interruption, in line with the requirements of my department.
If I am currently living in halls of residence, I must move out of my room within 28 days and I will remain financially liable for the room until I have checked out at my Halls Reception within the 28 days.
If I am in receipt of any internal or external funding, I will not receive any further payments whilst on a period of interruption, (unless explicitly confirmed by the department), and I may be asked to repay any over payments already received, and this may affect my future eligibility.
If I have a Royal Holloway sponsored Student Route or Tier 4 Visa, my interruption will be reported to the UKVI (UK Visa and Immigration) and I will be required to leave the UK within 60 days.

By clicking submit below I confrm that I wish to request an interruption to my studies and confirm that all the information provided is correct to the best of my knowledge

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