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|This reference form is part of the UCL research scholarship application form. |

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|Applicant Full Name* |      |

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|[pic] |RESEARCH ACADEMIC REFERENCE FORM 2 *required fields |

|1. If applicable, how long have you known the applicant? | |

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|2. The applicant is in the top |      | % of students I have taught throughout my academic career (current students only). |

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|3. The applicant is in the top |      | % of students in the current year cohort (current students only). |

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|4. Please comment on the following areas where applicable: the applicant’s academic performance (including the distribution of grades within the cohort of |

|students with which you are comparing this student), study/research skills, prizes and scholarships won, relevant personal qualities, motivation and |

|suitability for the intended programme or research project, as well as his/her career aims and prospects. * |

|(Please comment below or include a separate signed letter on headed paper. If a separate letter is provided we still require the other sections on this |

|form to be completed) |

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|5. Please comment on the applicant’s research potential.* |

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|6. It is a pre-requisite of UCL’s postgraduate research scholarships that students have an offer of study at UCL. For the benefit of the selection panel’s |

|deliberation, please comment, where applicable, on the grading structure of the qualifications attained and any relevant information about the candidate’s |

|previous institutions that have informed the decision to offer them a place. * |

|(Please comment below or include a separate signed letter on headed paper. If a separate letter is provided we still require the other sections on this |

|form to be completed) |

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|7. |Recommendations* | | | |

| |I strongly recommend this applicant for the above scholarship | | |I recommend this applicant for the above scholarship |

| |I do not recommend this applicant for the above scholarship | | |I am unable to comment |

|CONTACT DETAILS* |

|Title |      | |First name |      | |Last name |      |

|Name of Institution |Position |

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|Tel |      | |Email |      |

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|Under the terms of the Data Protection Act 2018, an applicant has the right to access any reference submitted to UCL. Please tick this box if you do not |

|wish the applicant to have access to this reference. |

|Signature |      | |Date |      | |

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|Thank you for your co-operation in completing this form. Please submit this form electronically by sending it directly to the UCL Department where the |

|applicant is registered or to which the applicant has been admitted. A full list of administrative contacts can be obtained at |

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