Application Form

Breadcrumbs

ST PETER'S COLLEGE, OXFORD - REQUEST TO ENTER NAME FOR A DEGREE

Please enter my name as a candidate for the Degree of:

□ BA   □ MA  □ D.Phil.   □ M.Phys   □ M.Chem.   □ M.St.   □ M. Sc.   □ M.Phil

Other (please state which……….)

I would like to take my degree             □ in person               □ in absentia

Preferred date of ceremony…………………………………………………………… . . . . . . . . .

Full Name (please print)……………………………………………………………….……………

Date of Birth………………………………………………………………………. . . . . . . . . . . . . .

Year of Matriculation………………..Subject……………………………………. . . . . . . . . . . . . .

Address………………………………………………………………………………………………

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

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

Contact telephone number……………………

Email……………………………………………………………………………………………

 

The Ceremony and Guests

I would like ….. visitor tickets for the degree ceremony 

I would like to attend the lunch in College   □ yes       □ no

I would like …….. lunch tickets at £15 each (no charge for graduand)

Names of guests attending lunch in College…………………………………………

……………………………………………………………………………………..

Special dietary requirements ……………………………………………………...

 

Charges

College Administrative Charge  £………10………

MA University Fee (£10)                      £…………………

Guests for Lunch (£15 each)               £…………………

Total                                                     £…………………

I enclose a cheque for £……………….made payable to St Peter’s College (with name of graduand and date of ceremony on the reverse)

I have paid by online banking £……… date payment made..................................

Please see website for electronic payment details

Please return this form to Mary Chalk, Academic Office, St Peter’s College, Oxford OX1 2DL.

For queries, please email mary.chalk@spc.ox.ac.uk