Academic Staff Resources

These forms support research integrity, academic supervision, and compliance with Busitema University policies.

Please review each form’s purpose and download the appropriate document.

Plagiarism Clearance Certificate

This form must be filled out for all research reports, Final year projects, theses, and dissertations to confirm that the students' work complies with the anti-plagiarism requirements outlined in the Busitema University Anti-Plagiarism Policy. When a plagiarism incidence is discovered, a description in this format should be provided. A copy of the first page of the Turnitin test should be submitted with this form. Up on submission of this form, the Plagialism Clearance Certificate signed by the Director DGSRI as proof that the scholarly work submitted by a student meets the Busitema University Anti Plagialism Policy will be issued

Download the form PDF

Confidentiality & Ethical Standards Form

This form acts as a supporting document to prove that the students’ work meets all the ethical standards in regard to his/her observance of these standards eg.confidenciality to sensitive information
This completed and signed form must be emailed to dgsri@adm.busitema.ac.ug as part of supporting documentation in the ziped folder of each higher degree student during submission.

Download the form PDF · 312 KB

Supervisor Amendment / Appointment Form

This form is issued to provide guidnace incase of any amendment or appointment of new supervisors to the graduate students
Details of both the old and new supervisor must be provided
Other Guidelines on how supervisors are amended are outlined herein
This completed and signed form must be emailed to dgsri@adm.busitema.ac.ug

Download the form PDF · 407 KB

Examiners Disagreement Resolution Form

This form if is filled to resolve disagreements in the marks among Examiners
Where no consensus can be reached by the examiners as to the outcome of the examination of a PhD dissertation (during the oral examination), two independent assessors are appointed.
Other guidelines on the appointment of an Assessor are outlined herein
This completed and signed form must be emailed to dgsri@adm.busitema.ac.ug

Download the form PDF · 428 KB

PhD Examiner Nomination Form

This form is meant to have details of the nominated External and internal examiners Examiner for a Ph.D student
Motivation for the nomination of an International Examiner should be indicated if applicable
This form should be signed by the departmental chair up on its completion
Guidelines on the selection of the Doctoral Examination panel are outlined herein
This completed and signed form must be emailed to dgsri@adm.busitema.ac.ug

Download the form PDF · 332 KB

PhD Change of Examiners Form

This form should be completed and signed by the Departmental Chair in case of change of examiners for a Ph.D candidate
Details of both the first approved and the new examiners must be provided
Guidelines on the amendment of examiners for a Doctoral candidate are outlined herein
This completed and signed form must be emailed to dgsri@adm.busitema.ac.ug

Download the form PDF · 330 KB

Masters Examiner Nomination Form

This form is meant to have details of the nominated External and internal examiners for the Master’s student
Motivation for the nomination of an International Examiner should be indicated if applicable
This form should be signed by the departmental chair up on its completion
This completed and signed form must be emailed to dgsri@adm.busitema.ac.ug

Download the form PDF · 512 KB

Masters Examiner Disagreement Resolution Form

This form is filled to resolve the difference between the marks of the internal and external examiner and the guidelines to dissolve this are outlined herein
This completed and signed form must be emailed to dgsri@adm.busitema.ac.ug preferably in Word format

Download the form PDF · 492 KB

Masters Change of Examiners Form

This form should be completed and signed by the Departmental Chair in case of change of examiners for a Master’s candidate. Details of both the first approved and the new examiners must be provided
This completed and signed form must be emailed to dgsri@adm.busitema.ac.ug

Download the form PDF · 489 KB

Supervisor-Student Agreement

This agreement is intended to foster mutual understanding between supervisors and higher degree students. The document establishes some basic principles for undertaking higher degree research at Busitema University and the implementation thereof will depend on the needs and expectations of supervisors and individual higher degree students.

Download the agreement PDF · 302 KB

Plagiarism Clearance Certificate (Issued)

The Plagiarism Clearance Certificate is signed by the Director DGRSI as proof that the scholarly work submitted by a student meets the Busitema University plagiarism cut-off points as per the Busitema University Plagiarism policy(2019)

Download the form PDF · 103 KB

Declaration of Originality Form

The Declaration of Originality Form is filled and completed for all works submitted to the university for examination by candidates to declare the originality of their work in accordance with Busitema University Plagiarism policy.

Download the form PDF · 201 KB

External Examiner’s Claim Form for Dissertation and Thesis

The External Examiner’s Claim Form for Dissertation and Thesis is filled by an external examiner to indicate details through which his/her honorarium can be paid. In case of any other expenses incurred, the examiner should include the total amount for reimbursement of such expenses. The examiner should also indicate the number of candidates examined; their names, Registration numbers, and degree programmes as well as attach his report on the examination.

Download the form PDF · 455 KB

Internal Examiner’s Claim Form for Dissertation and Thesis

The Internal Examiner’s Claim Form for Dissertation and Thesis is filled by an Internal examiner to indicate details through which his/her honorarium can be paid. In case of any other expenses incurred, the examiner should include the total amount for reimbursement of such expenses. The examiner should also indicate the number of candidates examined; their names, Registration numbers, and degree programmes as well as attach his/ her report on the examination

Download the form PDF · 455 KB

Doctoral degree VIVA VOCE Examination Results Form

The Doctoral degree VIVA VOCE examination results form is one on which a Ph.D. student is assessed to determine his/ her passing or failure. This form should be filled and signed by all the committee members among which the candidate's supervisor belongs. In case of disagreements, each panelist should show his/her number of preferences against his/her signature.

Download the form PDF

Masters degree VIVA VICE Examination Results Form

The Masters degree VIVA VICE Examination Results form is one on which a Master’s student is assessed to determine his/ her passing or failure. This form shall be filled and signed by all the committee members among which the candidate's supervisor belongs. In case of disagreements, each panelist should show his/her number of preferences against his/her signature

Download the form PDF · 393 KB