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Candidate:

Adviser:

Examining Committee:

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  2.  
  3.  

Defense

  • Date:
  • Time:
  • Place:

Judgment of the Examining Committee:

  • Pass
  • Failure
  • Conditional Pass:
    • Rewrite required and/or
    • Re-defense required

Conditions (please include deadlines for revision and re-defending):

 

 

Signatures of the Committee Members:

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  2.  
  3.