Hashemite University Faculty of Medicine

Research Project Committee Appointment Request

Saba' Abushamma
For Completion by: _________________

Abushamma Saba' Samir 1635104 0791448482 1635104@std.hu.edu.jo

Last Name of Student First Name Middle Name ID# Telephone email

Masadeh Barihan Marwan 1635084 0799032081 1635084@std.hu.edu.jo

Last Name of Student First Name Middle Name ID# Telephone email

Al-hami Aamal Yaseen 1631491 0790522590 1631491@std.hu.edu.jo

Last Name of Student First Name Middle Name ID# Telephone email

Ibrahim Bara' Ibrahim 1635083 0795488323 1635083@std.hu.edu.jo

Last Name of Student First Name Middle Name ID# Telephone email

Jum'ah Yasmeen Amer 1631313 0780643859 1631313@std.hu.edu.jo

Last Name of Student First Name Middle Name ID# Telephone email

The following are my Research Project Committee members: (At least one member of
the committee must have a terminal degree. One member can be from outside the
Faculty of Medicine, but cannot serve as chair.)

Committee Member Name (Please type or print legibly): Initials of Faculty

Program Chair initials

Mustafa Saad Yousuf MSY

Member initials

Member initials

Optional fourth member initials

Forward all copies to the Research Program Coordinator

APPROVED:
Research Program Coordinator Date

Dean of the Medical School Date