Mansoura University

Faculty of Medicine

SUPERVISOR FORM

RE: ------------------------------------------------------------------

ID: -------------------------------------------------------------------

Title: -------------------------------------------------------------------

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This is to confirm that I approved to supervise the above

mentioned student in the pre mentioned title.

Supervisor signature, Date

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Mansoura Manchester Programme for Medical Education

E. Mail :Manchester@mans.edu.eg Tel.: +2050-2248963) Fax : +2050-2248203