Thesis/Dissertation Confidentiality Form
For Sensitive Research Material
Student Name
Student ID
Department
Degree Program
Thesis/Dissertation Title
Supervisor(s)
Reason for Confidentiality Request (briefly describe the nature of the sensitive research):
Requested Duration of Confidentiality (e.g., 1 year, 2 years):
Additional Information or Conditions (if any):
I, the undersigned, hereby request that my thesis/dissertation be treated as confidential and not be made publicly available for the duration specified above due to the sensitive nature of the research. I understand the institutional policies regarding confidential theses/dissertations and agree to abide by them.
Student Signature
Date
Supervisor Signature
Date