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Research Project and Supervisor Assignment Form
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* Indicates required question
1. Name of Resident
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Your answer
2.
Division
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Your answer
3.
Faculty
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Your answer
4.
Membership year
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Your answer
5.
Current Posting
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Your answer
6.
Postal Address
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Your answer
7.
Telephone number
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Your answer
8.
Email Address
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Your answer
9.
Proposed Project Supervisor's Full Name
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Your answer
10.
Proposed Project Supervisor's place of work
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Your answer
11.
Proposed Project Supervisor's occupation
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Your answer
12.
Proposed Project Supervisor's Full Address of Place of Work
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Your answer
13.
Proposed Project Supervisor's Mobile Telephone Number
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Your answer
14.
Proposed Project Supervisor's Email Address
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Your answer
15. Reason(s) for the Choice of Project Supervisor
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Your answer
16. Proposed Project Topic (Do not type more than 20 words) a.
State the Title of Research Project
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b.
Objectives of Research Project (Do not type more than 60 words. State at least 2 objectives)
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c. List 3 relevant references you have read
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