{"id":6394,"date":"2023-06-27T17:02:30","date_gmt":"2023-06-27T21:02:30","guid":{"rendered":"https:\/\/carleton.ca\/icslac\/?page_id=6394"},"modified":"2026-06-23T16:34:29","modified_gmt":"2026-06-23T20:34:29","slug":"approval-for-dissertation-submission-recommended-examiners","status":"publish","type":"page","link":"https:\/\/carleton.ca\/icslac\/forms\/approval-for-dissertation-submission-recommended-examiners\/","title":{"rendered":"Approval for Dissertation Submission\/Recommended Examiners"},"content":{"rendered":"\n<section class=\"w-screen px-6 cu-section cu-section--white ml-offset-center md:px-8 lg:px-14\">\n    <div class=\"space-y-6 cu-max-w-child-5xl  md:space-y-10 cu-prose-first-last\">\n\n            <div class=\"cu-textmedia flex flex-col lg:flex-row mx-auto gap-6 md:gap-10 my-6 md:my-12 first:mt-0 max-w-5xl\">\n        <div class=\"justify-start cu-textmedia-content cu-prose-first-last\" style=\"flex: 0 0 100%;\">\n            <header class=\"font-light prose-xl cu-pageheader md:prose-2xl cu-component-updated cu-prose-first-last\">\n                                    <h1 class=\"cu-prose-first-last font-semibold !mt-2 mb-4 md:mb-6 relative after:absolute after:h-px after:bottom-0 after:bg-cu-red after:left-px text-3xl md:text-4xl lg:text-5xl lg:leading-[3.5rem] pb-5 after:w-10 text-cu-black-700 not-prose\">\n                        Approval for Dissertation Submission\/Recommended Examiners\n                    <\/h1>\n                \n                                \n                            <\/header>\n\n                    <\/div>\n\n            <\/div>\n\n    <\/div>\n<\/section>\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar 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Submission\/Recommended Examiners<\/h2>\n                            <p class='gform_description'><b>Purpose:<\/b> This internal form is to be filed with ICSLAC before official submission of the dissertation by the candidate. Potential examiners will not be approached until it is filed. The form records the following: <br>\r\n<br>\r\n\u2022The full Dissertation Committee&#8217;s approval to proceed to official submission;<br>\r\n<br>\r\n\u2022The Candidate&#8217;s intent to officially submit their dissertation within two weeks;<br>\r\n<br>\r\n\u2022Acknowledgement of conflict of interest regulations;<br>\r\n<br>\r\n\u2022Dissertation title and abstract as submitted by the candidate;<br>\r\n<br>\r\n\u2022Recommendations for Internal and External Examiners inclusive of rationale.\r\n<br>\r\n<br>\r\n<b>Responsibility:<\/b>The form must be filed  by <b>the  Supervisor<\/b> (or lead Co-supervisor), on behalf of the candidate and the Dissertation Committee.\r\n<br>\r\n<br>\r\n<b>Timing:<\/b> The form must be filed <b>two weeks<\/b> before official submission of the dissertation by the candidate.\r\n<br>\r\n<br>\r\n<b>Recommended Examiners:<\/b> Please note that Supervisor and candidate <b>must remain at arm&#8217;s length<\/b> from recommended examiners, who should not be contacted by anyone but ICSLAC&#8217;s Director. <b>At least two choices<\/b> (preferably three) must be submitted for both the external and internal examiners. The Director may need to approach the Supervisor for further recommendations.<\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form class='not-prose' method='post' enctype='multipart\/form-data'  id='gform_20'  action='\/icslac\/wp-json\/wp\/v2\/pages\/6394' data-formid='20' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_20' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_20_63\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_63'>Company<\/label><div class='ginput_container'><input name='input_63' id='input_20_63' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_20_63'>This field is for validation purposes and should be left unchanged.<\/div><\/div><div id=\"field_20_24\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_24'>Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_24' id='input_20_24' type='text' value='' class='datepicker gform-datepicker dmy_dash datepicker_no_icon gdatepicker-no-icon'   placeholder='dd-mm-yyyy' aria-describedby=\"input_20_24_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_20_24_date_format' class='screen-reader-text'>DD dash MM dash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_20_24' class='gform_hidden' value='https:\/\/carleton.ca\/icslac\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_20_37\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name of PhD Candidate<\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_20_37'>\n                            \n                            <span id='input_20_37_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_37.3' id='input_20_37_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_37_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_20_37_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_37.6' id='input_20_37_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_37_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_20_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name of Supervisor (or lead Co-supervisor)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name has_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_20_1'>\n                            \n                            <span id='input_20_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_20_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_20_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_20_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_20_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_20_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <span id='input_20_1_8_container' class='name_suffix  gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.8' id='input_20_1_8' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_1_8' class='gform-field-label gform-field-label--type-sub '>Email<\/label>\n                                                <\/span>\n                        <\/div><\/fieldset><fieldset id=\"field_20_40\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name of other Co-Supervisor (if applicable)<\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name has_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_20_40'>\n                            \n                            <span id='input_20_40_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_40.3' id='input_20_40_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_40_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_20_40_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_40.6' id='input_20_40_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_40_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <span id='input_20_40_8_container' class='name_suffix  gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_40.8' id='input_20_40_8' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_40_8' class='gform-field-label gform-field-label--type-sub '>Department ((and email contact if non-Carleton)<\/label>\n                                                <\/span>\n                        <\/div><\/fieldset><fieldset id=\"field_20_42\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name of first Advising Committee Member<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name has_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_20_42'>\n                            \n                            <span id='input_20_42_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_42.3' id='input_20_42_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_20_42_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_20_42_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_42.6' id='input_20_42_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_20_42_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <span id='input_20_42_8_container' class='name_suffix  gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_42.8' id='input_20_42_8' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_42_8' class='gform-field-label gform-field-label--type-sub '>Department (and email contact if non-Carleton)<\/label>\n                                                <\/span>\n                        <\/div><\/fieldset><fieldset id=\"field_20_43\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name of second Advising Committee Member<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name has_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_20_43'>\n                            \n                            <span id='input_20_43_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_43.3' id='input_20_43_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_20_43_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_20_43_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_43.6' id='input_20_43_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_20_43_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <span id='input_20_43_8_container' class='name_suffix  gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_43.8' id='input_20_43_8' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_43_8' class='gform-field-label gform-field-label--type-sub '>Department (and email contact if non-Carleton)<\/label>\n                                                <\/span>\n                        <\/div><\/fieldset><fieldset id=\"field_20_52\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Committee&#039;s confirmation that the dissertation has been approved for official submission<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_52.1' id='input_20_52_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_20_52_1' >As Supervisor (or lead Co-supervisor), I confirm that the final draft of the dissertation has been reviewed and approved by the entire Dissertation Committee (membership detailed above) for official submission.<\/label><input type='hidden' name='input_52.2' value='As Supervisor (or lead Co-supervisor), I confirm that the final draft of the dissertation has been reviewed and approved by the entire Dissertation Committee (membership detailed above) for official submission.' class='gform_hidden' \/><input type='hidden' name='input_52.3' value='27' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_20_49\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Confirmation of candidate&#039;s intent to officially submit their dissertation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_49.1' id='input_20_49_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_20_49_1' >As confirmed to me by the candidate, I am relaying as Supervisor (or lead Co-supervisor) their intention to officially submit their dissertation in two weeks from today&#8217;s date.<\/label><input type='hidden' name='input_49.2' value='As confirmed to me by the candidate, I am relaying as Supervisor (or lead Co-supervisor) their intention to officially submit their dissertation in two weeks from today&#039;s date.' class='gform_hidden' \/><input type='hidden' name='input_49.3' value='27' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_20_51\" class=\"gfield gfield--type-fileupload gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_51'>Dissertation title and abstract as submitted by the candidate<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='15728640' \/><input name='input_51' id='input_20_51' type='file' class='medium' aria-describedby=\"gfield_upload_rules_20_51 gfield_description_20_51\" onchange='javascript:gformValidateFileSize( this, 15728640 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_20_51'>Max. file size: 15 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_20_51'><\/div> <\/div><div class='gfield_description' id='gfield_description_20_51'>Please attached the candidate&#8217;s abstract in Word or PDF format, to be shared with potential examiners. <\/div><\/div><fieldset id=\"field_20_45\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Potential Examiners: Conflict of Interest Acknowledgement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_45.1' id='input_20_45_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_20_45_1' >I confirm that both Supervisor (or Co-supervisors) and candidate abide by section 2.2.1 (Conflict of Interest) of Carleton&#8217;s Examination Policy (https:\/\/gradstudents.carleton.ca\/wp-content\/uploads\/Thesis-Examination-Policy-revised-Jan-2022-1.pdf)<\/label><input type='hidden' name='input_45.2' value='I confirm that both Supervisor (or Co-supervisors) and candidate abide by section 2.2.1 (Conflict of Interest) of Carleton&#039;s Examination Policy (https:\/\/gradstudents.carleton.ca\/wp-content\/uploads\/Thesis-Examination-Policy-revised-Jan-2022-1.pdf)' class='gform_hidden' \/><input type='hidden' name='input_45.3' value='27' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_20_55\" class=\"gfield gfield--type-name field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >External Examiner: First Choice<\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_20_55'>\n                            \n                            <span id='input_20_55_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_55.3' id='input_20_55_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_55_3' class='gform-field-label gform-field-label--type-sub '>Full name and affiliation<\/label>\n                                                <\/span>\n                            <span id='input_20_55_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_55.4' id='input_20_55_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_55_4' class='gform-field-label gform-field-label--type-sub '>Email contact<\/label>\n                                                <\/span>\n                            <span id='input_20_55_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_55.6' id='input_20_55_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_55_6' class='gform-field-label gform-field-label--type-sub '>Rationale (cut and paste)<\/label>\n                                                <\/span>\n                            \n                        <\/div><div class='gfield_description' id='gfield_description_20_55'> <\/div><\/fieldset><fieldset id=\"field_20_60\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >External Examiner: Second Choice<\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_20_60'>\n                            \n                            <span id='input_20_60_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_60.3' id='input_20_60_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_60_3' class='gform-field-label gform-field-label--type-sub '>Full name and affiliation<\/label>\n                                                <\/span>\n                            <span id='input_20_60_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_60.4' id='input_20_60_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_60_4' class='gform-field-label gform-field-label--type-sub '>Email contact<\/label>\n                                                <\/span>\n                            <span id='input_20_60_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_60.6' id='input_20_60_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_60_6' class='gform-field-label gform-field-label--type-sub '>Rationale (cut and paste)<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_20_59\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >External Examiner: Third Choice<\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_20_59'>\n                            \n                            <span id='input_20_59_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_59.3' id='input_20_59_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_59_3' class='gform-field-label gform-field-label--type-sub '>Full name and affiliation<\/label>\n                                                <\/span>\n                            <span id='input_20_59_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_59.4' id='input_20_59_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_59_4' class='gform-field-label gform-field-label--type-sub '>Email contact<\/label>\n                                                <\/span>\n                            <span id='input_20_59_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_59.6' id='input_20_59_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_59_6' class='gform-field-label gform-field-label--type-sub '>Rationale (cut and paste)<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_20_58\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Internal Examiner: First Choice<\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_20_58'>\n                            \n                            <span id='input_20_58_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_58.3' id='input_20_58_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_58_3' class='gform-field-label gform-field-label--type-sub '>Full name and affiliation<\/label>\n                                                <\/span>\n                            <span id='input_20_58_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_58.4' id='input_20_58_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_58_4' class='gform-field-label gform-field-label--type-sub '>Email contact<\/label>\n                                                <\/span>\n                            <span id='input_20_58_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_58.6' id='input_20_58_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_58_6' class='gform-field-label gform-field-label--type-sub '>Rationale<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_20_57\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Internal Examiner: Second Choice<\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_20_57'>\n                            \n                            <span id='input_20_57_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_57.3' id='input_20_57_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_57_3' class='gform-field-label gform-field-label--type-sub '>Full name and affiliation<\/label>\n                                                <\/span>\n                            <span id='input_20_57_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_57.4' id='input_20_57_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_57_4' class='gform-field-label gform-field-label--type-sub '>Email contact<\/label>\n                                                <\/span>\n                            <span id='input_20_57_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_57.6' id='input_20_57_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_57_6' class='gform-field-label gform-field-label--type-sub '>Rationale (cut and paste)<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset 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