Applicant: 			«Title» «Initials» «Surname»
Faculty/Department	«FacultyDepartment»
Office applied for:		«OfficeSought»

THIS DOCUMENT IS DISCLOSABLE UNDER THE FEEDBACK ARRANGEMENTS.

General Board’s Senior Academic Promotions Committee

Please tick as appropriate:

The documentation made available to the Main Committee was the same as submitted to the Sub-Committee. 		

Documentation additional to that submitted to the Sub-Committee was made available to the Main Committee		

This was as follows:

(Please specify clearly below the nature of the documentation. e.g. references nominated by applicant/FPC; College statement; NHS statement, etc.

1.

2.

3.

Comments (if any)

Signed:_____________________________________ Date:_______________________

Secretary of General Board’s Main Committee