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Form No.

R-23
De La Salle University
OFFICE OF THE UNIVERSITY REGISTRAR

PANEL CHAIR REPORT


DATE OF DEFENSE AY / TERM

SECTION A: PROGRAM INFORMATION SECTION B: STUDENT INFORMATION


COLLEGE OF LAST NAME

DEPARTMENT FIRST NAME

DEGREE / PROGRAM MIDDLE NAME

MAJOR / SPECIALIZATION ID NO.

SECTION C: SUBMISSION OF REVISIONS


PANEL CHAIR THESIS / DISSERTATION TITLE

I certify that I have read the revised thesis/dissertation


manuscript presented by the student as required by the mem-
bers of the defense panel. I further certify that the revisions
are in accordance with their instructions. As such, the stu-
dent may now be deemed to have passed the defense.

SIGNATURE OVER PRINTED NAME / DATE

Form No. R-23


De La Salle University
OFFICE OF THE UNIVERSITY REGISTRAR

PANEL CHAIR REPORT


DATE OF DEFENSE AY / TERM

SECTION A: PROGRAM INFORMATION SECTION B: STUDENT INFORMATION


COLLEGE OF LAST NAME

DEPARTMENT FIRST NAME

DEGREE / PROGRAM MIDDLE NAME

MAJOR / SPECIALIZATION ID NO.

SECTION C: SUBMISSION OF REVISIONS


PANEL CHAIR THESIS / DISSERTATION TITLE

I certify that I have read the revised thesis/dissertation


manuscript presented by the student as required by the mem-
bers of the defense panel. I further certify that the revisions
are in accordance with their instructions. As such, the stu-
dent may now be deemed to have passed the defense.

SIGNATURE OVER PRINTED NAME / DATE

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