{\rtf1\adeflang1025\ansi\ansicpg932\uc2\adeff15\deff0\stshfdbch11\stshfloch0\stshfhich0\stshfbi0\deflang1033\deflangfe1041\themelang1033\themelangfe1041\themelangcs0{\fonttbl{\f0\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt MS Mincho};}
{\f11\fbidi \froman\fcharset128\fprq1{\*\panose 00000000000000000000}\'82\'6c\'82\'72 \'96\'be\'92\'a9{\*\falt MS Mincho};}
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{\f34\fbidi \froman\fcharset0\fprq2{\*\panose 02040503050406030204}Cambria Math;}{\f43\fbidi \fmodern\fcharset128\fprq1{\*\panose 020b0609070205080204}@\'82\'6c\'82\'72 \'83\'53\'83\'56\'83\'62\'83\'4e;}
{\f44\fbidi \froman\fcharset128\fprq1{\*\panose 02020609040205080304}@\'82\'6c\'82\'72 \'96\'be\'92\'a9{\*\falt @\'96\'be\'92\'a9};}{\flomajor\f31500\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt MS Mincho};}
{\fdbmajor\f31501\fbidi \fmodern\fcharset128\fprq1{\*\panose 020b0609070205080204}\'82\'6c\'82\'72 \'83\'53\'83\'56\'83\'62\'83\'4e{\*\falt MS Gothic};}{\fhimajor\f31502\fbidi \fswiss\fcharset0\fprq2{\*\panose 020b0604020202020204}Arial;}
{\fbimajor\f31503\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt MS Mincho};}{\flominor\f31504\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt MS Mincho};}
{\fdbminor\f31505\fbidi \froman\fcharset128\fprq1{\*\panose 00000000000000000000}\'82\'6c\'82\'72 \'96\'be\'92\'a9{\*\falt MS Mincho};}{\fhiminor\f31506\fbidi \froman\fcharset0\fprq2{\*\panose 02040604050505020304}Century;}
{\fbiminor\f31507\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt MS Mincho};}{\f58\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt MS Mincho};}
{\f59\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt MS Mincho};}{\f61\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt MS Mincho};}{\f62\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt MS Mincho};}
{\f63\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt MS Mincho};}{\f64\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt MS Mincho};}{\f65\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt MS Mincho};}
{\f66\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt MS Mincho};}{\f170\fbidi \froman\fcharset0\fprq1 MS Mincho Western{\*\falt MS Mincho};}{\f168\fbidi \froman\fcharset238\fprq1 MS Mincho CE{\*\falt MS Mincho};}
{\f169\fbidi \froman\fcharset204\fprq1 MS Mincho Cyr{\*\falt MS Mincho};}{\f171\fbidi \froman\fcharset161\fprq1 MS Mincho Greek{\*\falt MS Mincho};}{\f172\fbidi \froman\fcharset162\fprq1 MS Mincho Tur{\*\falt MS Mincho};}
{\f175\fbidi \froman\fcharset186\fprq1 MS Mincho Baltic{\*\falt MS Mincho};}{\f210\fbidi \fmodern\fcharset0\fprq1 MS Gothic Western{\*\falt MS Gothic};}{\f208\fbidi \fmodern\fcharset238\fprq1 MS Gothic CE{\*\falt MS Gothic};}
{\f209\fbidi \fmodern\fcharset204\fprq1 MS Gothic Cyr{\*\falt MS Gothic};}{\f211\fbidi \fmodern\fcharset161\fprq1 MS Gothic Greek{\*\falt MS Gothic};}{\f212\fbidi \fmodern\fcharset162\fprq1 MS Gothic Tur{\*\falt MS Gothic};}
{\f215\fbidi \fmodern\fcharset186\fprq1 MS Gothic Baltic{\*\falt MS Gothic};}{\f268\fbidi \froman\fcharset238\fprq2 Century CE;}{\f269\fbidi \froman\fcharset204\fprq2 Century Cyr;}{\f271\fbidi \froman\fcharset161\fprq2 Century Greek;}
{\f272\fbidi \froman\fcharset162\fprq2 Century Tur;}{\f275\fbidi \froman\fcharset186\fprq2 Century Baltic;}{\f398\fbidi \froman\fcharset238\fprq2 Cambria Math CE;}{\f399\fbidi \froman\fcharset204\fprq2 Cambria Math Cyr;}
{\f401\fbidi \froman\fcharset161\fprq2 Cambria Math Greek;}{\f402\fbidi \froman\fcharset162\fprq2 Cambria Math Tur;}{\f405\fbidi \froman\fcharset186\fprq2 Cambria Math Baltic;}
{\f490\fbidi \fmodern\fcharset0\fprq1 @\'82\'6c\'82\'72 \'83\'53\'83\'56\'83\'62\'83\'4e Western;}{\f488\fbidi \fmodern\fcharset238\fprq1 @\'82\'6c\'82\'72 \'83\'53\'83\'56\'83\'62\'83\'4e CE;}
{\f489\fbidi \fmodern\fcharset204\fprq1 @\'82\'6c\'82\'72 \'83\'53\'83\'56\'83\'62\'83\'4e Cyr;}{\f491\fbidi \fmodern\fcharset161\fprq1 @\'82\'6c\'82\'72 \'83\'53\'83\'56\'83\'62\'83\'4e Greek;}
{\f492\fbidi \fmodern\fcharset162\fprq1 @\'82\'6c\'82\'72 \'83\'53\'83\'56\'83\'62\'83\'4e Tur;}{\f495\fbidi \fmodern\fcharset186\fprq1 @\'82\'6c\'82\'72 \'83\'53\'83\'56\'83\'62\'83\'4e Baltic;}
{\f500\fbidi \froman\fcharset0\fprq1 @\'82\'6c\'82\'72 \'96\'be\'92\'a9 Western{\*\falt @\'96\'be\'92\'a9};}{\f498\fbidi \froman\fcharset238\fprq1 @\'82\'6c\'82\'72 \'96\'be\'92\'a9 CE{\*\falt @\'96\'be\'92\'a9};}
{\f499\fbidi \froman\fcharset204\fprq1 @\'82\'6c\'82\'72 \'96\'be\'92\'a9 Cyr{\*\falt @\'96\'be\'92\'a9};}{\f501\fbidi \froman\fcharset161\fprq1 @\'82\'6c\'82\'72 \'96\'be\'92\'a9 Greek{\*\falt @\'96\'be\'92\'a9};}
{\f502\fbidi \froman\fcharset162\fprq1 @\'82\'6c\'82\'72 \'96\'be\'92\'a9 Tur{\*\falt @\'96\'be\'92\'a9};}{\f505\fbidi \froman\fcharset186\fprq1 @\'82\'6c\'82\'72 \'96\'be\'92\'a9 Baltic{\*\falt @\'96\'be\'92\'a9};}
{\flomajor\f31508\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt MS Mincho};}{\flomajor\f31509\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt MS Mincho};}
{\flomajor\f31511\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt MS Mincho};}{\flomajor\f31512\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt MS Mincho};}
{\flomajor\f31513\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt MS Mincho};}{\flomajor\f31514\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt MS Mincho};}
{\flomajor\f31515\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt MS Mincho};}{\flomajor\f31516\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt MS Mincho};}
{\fdbmajor\f31520\fbidi \fmodern\fcharset0\fprq1 MS Gothic Western{\*\falt MS Gothic};}{\fdbmajor\f31518\fbidi \fmodern\fcharset238\fprq1 MS Gothic CE{\*\falt MS Gothic};}
{\fdbmajor\f31519\fbidi \fmodern\fcharset204\fprq1 MS Gothic Cyr{\*\falt MS Gothic};}{\fdbmajor\f31521\fbidi \fmodern\fcharset161\fprq1 MS Gothic Greek{\*\falt MS Gothic};}
{\fdbmajor\f31522\fbidi \fmodern\fcharset162\fprq1 MS Gothic Tur{\*\falt MS Gothic};}{\fdbmajor\f31525\fbidi \fmodern\fcharset186\fprq1 MS Gothic Baltic{\*\falt MS Gothic};}{\fhimajor\f31528\fbidi \fswiss\fcharset238\fprq2 Arial CE;}
{\fhimajor\f31529\fbidi \fswiss\fcharset204\fprq2 Arial Cyr;}{\fhimajor\f31531\fbidi \fswiss\fcharset161\fprq2 Arial Greek;}{\fhimajor\f31532\fbidi \fswiss\fcharset162\fprq2 Arial Tur;}{\fhimajor\f31533\fbidi \fswiss\fcharset177\fprq2 Arial (Hebrew);}
{\fhimajor\f31534\fbidi \fswiss\fcharset178\fprq2 Arial (Arabic);}{\fhimajor\f31535\fbidi \fswiss\fcharset186\fprq2 Arial Baltic;}{\fhimajor\f31536\fbidi \fswiss\fcharset163\fprq2 Arial (Vietnamese);}
{\fbimajor\f31538\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt MS Mincho};}{\fbimajor\f31539\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt MS Mincho};}
{\fbimajor\f31541\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt MS Mincho};}{\fbimajor\f31542\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt MS Mincho};}
{\fbimajor\f31543\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt MS Mincho};}{\fbimajor\f31544\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt MS Mincho};}
{\fbimajor\f31545\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt MS Mincho};}{\fbimajor\f31546\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt MS Mincho};}
{\flominor\f31548\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt MS Mincho};}{\flominor\f31549\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt MS Mincho};}
{\flominor\f31551\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt MS Mincho};}{\flominor\f31552\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt MS Mincho};}
{\flominor\f31553\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt MS Mincho};}{\flominor\f31554\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt MS Mincho};}
{\flominor\f31555\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt MS Mincho};}{\flominor\f31556\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt MS Mincho};}
{\fdbminor\f31560\fbidi \froman\fcharset0\fprq1 MS Mincho Western{\*\falt MS Mincho};}{\fdbminor\f31558\fbidi \froman\fcharset238\fprq1 MS Mincho CE{\*\falt MS Mincho};}{\fdbminor\f31559\fbidi \froman\fcharset204\fprq1 MS Mincho Cyr{\*\falt MS Mincho};}
{\fdbminor\f31561\fbidi \froman\fcharset161\fprq1 MS Mincho Greek{\*\falt MS Mincho};}{\fdbminor\f31562\fbidi \froman\fcharset162\fprq1 MS Mincho Tur{\*\falt MS Mincho};}
{\fdbminor\f31565\fbidi \froman\fcharset186\fprq1 MS Mincho Baltic{\*\falt MS Mincho};}{\fhiminor\f31568\fbidi \froman\fcharset238\fprq2 Century CE;}{\fhiminor\f31569\fbidi \froman\fcharset204\fprq2 Century Cyr;}
{\fhiminor\f31571\fbidi \froman\fcharset161\fprq2 Century Greek;}{\fhiminor\f31572\fbidi \froman\fcharset162\fprq2 Century Tur;}{\fhiminor\f31575\fbidi \froman\fcharset186\fprq2 Century Baltic;}
{\fbiminor\f31578\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt MS Mincho};}{\fbiminor\f31579\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt MS Mincho};}
{\fbiminor\f31581\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt MS Mincho};}{\fbiminor\f31582\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt MS Mincho};}
{\fbiminor\f31583\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt MS Mincho};}{\fbiminor\f31584\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt MS Mincho};}
{\fbiminor\f31585\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt MS Mincho};}{\fbiminor\f31586\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt MS Mincho};}}{\colortbl;\red0\green0\blue0;\red0\green0\blue255;
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\hich\af0\dbch\af15\loch\f0 Promissory}{\rtlch\fcs1 \af0\afs40 \ltrch\fcs0 \f0\fs40\insrsid5074236 \hich\af0\dbch\af15\loch\f0  }{\rtlch\fcs1 \af0\afs40 \ltrch\fcs0 \f0\fs40\expnd0\expndtw2\insrsid5074236 \hich\af0\dbch\af15\loch\f0 Note}{\rtlch\fcs1 
\af0 \ltrch\fcs0 \expnd0\expndtw2\hich\af0\insrsid5074236 
\par }\pard \ltrpar\qj \li0\ri0\sl-396\slmult0\nowidctlpar\wrapdefault\hyphpar0\nooverflow\aspalpha\aspnum\faroman\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \expnd0\expndtw2\hich\af0\insrsid5074236 
\par 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5074236 \hich\af0\dbch\af15\loch\f0 To the President of The University of Tokushima:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \expnd0\expndtw2\hich\af0\insrsid5074236 
\par 
\par }\pard \ltrpar\qj \fi244\li0\ri0\nowidctlpar\wrapdefault\hyphpar0\nooverflow\aspalpha\aspnum\faroman\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5074236 \hich\af0\dbch\af15\loch\f0 I\hich\af0\dbch\af15\loch\f0 , }{
\rtlch\fcs1 \af15\afs24 \ltrch\fcs0 \fs24\ul\ulc1\insrsid5074236 \loch\af15\hich\af15\dbch\f15 \'81\'40\'81\'40\'81\'40\'81\'40\'81\'40\'81\'40\'81\'40\'81\'40\'81\'40\'81\'40\'81\'40\'81\'40\'81\'40\'81\'40\'81\'40\'81\'40\'81\'40\'81\'40}{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5074236 \hich\af0\dbch\af15\loch\f0 , hereby solemnly pledge to maintain }{\rtlch\fcs1 \af0 \ltrch\fcs0 \expnd0\expndtw2\hich\af0\insrsid5074236 
\par }\pard \ltrpar\qj \fi816\li0\ri0\nowidctlpar\wrapdefault\hyphpar0\nooverflow\aspalpha\aspnum\faroman\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af15\afs20 \ltrch\fcs0 \fs20\insrsid5074236 \loch\af15\hich\af15\dbch\f15 \'81\'69}{\rtlch\fcs1 \af0\afs20 
\ltrch\fcs0 \f0\fs20\insrsid5074236 \hich\af0\dbch\af15\loch\f0 Name}{\rtlch\fcs1 \af15\afs20 \ltrch\fcs0 \fs20\insrsid5074236 \loch\af15\hich\af15\dbch\f15 \'81\'6a\'81\'69}{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f0\fs20\insrsid5074236 
\hich\af0\dbch\af15\loch\f0 fill-out in own handwriting}{\rtlch\fcs1 \af15\afs20 \ltrch\fcs0 \fs20\insrsid5074236 \loch\af15\hich\af15\dbch\f15 \'81\'6a}{\rtlch\fcs1 \af0 \ltrch\fcs0 \expnd0\expndtw2\hich\af0\insrsid5074236 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\hyphpar0\nooverflow\aspalpha\aspnum\faroman\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5074236 \hich\af0\dbch\af15\loch\f0 
secrecy of all research and abide by The University of Tokushima}{\rtlch\fcs1 \af15\afs24 \ltrch\fcs0 \fs24\insrsid5074236 \loch\af15\hich\af15\dbch\f15 \'81\'66}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5074236 \hich\af0\dbch\af15\loch\f0 
s Employee InventionRegulations Provision 17 Section 2 which states that I abide by The Universit\hich\af0\dbch\af15\loch\f0 y of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \expnd0\expndtw2\hich\af0\insrsid5074236 
\par }\pard \ltrpar\qj \li0\ri0\nowidctlpar\wrapdefault\hyphpar0\nooverflow\aspalpha\aspnum\faroman\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5074236 \hich\af0\dbch\af15\loch\f0 Tokushima}{\rtlch\fcs1 \af15\afs24 
\ltrch\fcs0 \fs24\insrsid5074236 \loch\af15\hich\af15\dbch\f15 \'81\'66}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5074236 \hich\af0\dbch\af15\loch\f0 s Employee Invention Regulations for all intellectual property I am engaged }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \expnd0\expndtw2\hich\af0\insrsid5074236 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\hyphpar0\nooverflow\aspalpha\aspnum\faroman\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5074236 \hich\af0\dbch\af15\loch\f0 
in at The University of Tokushima and never disclose any research findings, as I begin my research at The University of Tokushima.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \expnd0\expndtw2\hich\af0\insrsid5074236 
\par }\pard \ltrpar\qj \li0\ri0\sl-396\slmult0\nowidctlpar\wrapdefault\hyphpar0\nooverflow\aspalpha\aspnum\faroman\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \expnd0\expndtw2\hich\af0\insrsid5074236 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5074236 \hich\af0\dbch\af15\loch\f0    }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\ul\ulc1\insrsid5074236 \hich\af0\dbch\af15\loch\f0                             \hich\af0\dbch\af15\loch\f0 
                                     }{\rtlch\fcs1 \af0 \ltrch\fcs0 \expnd0\expndtw2\hich\af0\insrsid5074236 
\par }\pard \ltrpar\qj \fi244\li0\ri0\sl-396\slmult0\nowidctlpar\wrapdefault\hyphpar0\nooverflow\aspalpha\aspnum\faroman\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5074236 \hich\af0\dbch\af15\loch\f0       }{\rtlch\fcs1 
\af0\afs20 \ltrch\fcs0 \f0\fs20\insrsid5074236 \hich\af0\dbch\af15\loch\f0 (Title of}{\rtlch\fcs1 \af0\afs12 \ltrch\fcs0 \f0\fs12\insrsid5074236 \hich\af0\dbch\af15\loch\f0   }{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f0\fs20\insrsid5074236 
\hich\af0\dbch\af15\loch\f0 Project)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \expnd0\expndtw2\hich\af0\insrsid5074236 
\par }\pard \ltrpar\qj \li0\ri0\sl-396\slmult0\nowidctlpar\wrapdefault\hyphpar0\nooverflow\aspalpha\aspnum\faroman\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \expnd0\expndtw2\hich\af0\insrsid5074236 
\par 
\par }\pard \ltrpar\qj \li0\ri0\nowidctlpar\wrapdefault\hyphpar0\nooverflow\aspalpha\aspnum\faroman\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5074236 \hich\af0\dbch\af15\loch\f0    }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\ul\ulc1\insrsid5074236 \hich\af0\dbch\af15\loch\f0                          }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5074236 \hich\af0\dbch\af15\loch\f0                }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\ul\ulc1\insrsid5074236 \hich\af0\dbch\af15\loch\f0                          }{\rtlch\fcs1 \af0 \ltrch\fcs0 \expnd0\expndtw2\hich\af0\insrsid5074236 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5074236 \hich\af0\dbch\af15\loch\f0     }{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f0\fs20\insrsid5074236 \hich\af0\dbch\af15\loch\f0     }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5074236 
\hich\af0\dbch\af15\loch\f0   }{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f0\fs20\insrsid5074236 \hich\af0\dbch\af15\loch\f0 (Name in print)                                     (Affiliation)      }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\expnd0\expndtw2\hich\af0\insrsid5074236 
\par 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5074236 \hich\af0\dbch\af15\loch\f0    }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\ul\ulc1\insrsid5074236 \hich\af0\dbch\af15\loch\f0                          }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid5074236 \hich\af0\dbch\af15\loch\f0           \hich\af0\dbch\af15\loch\f0      }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\ul\ulc1\insrsid5074236 \hich\af0\dbch\af15\loch\f0                          }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\expnd0\expndtw2\hich\af0\insrsid5074236 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5074236 \hich\af0\dbch\af15\loch\f0   }{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f0\fs20\insrsid5074236 \hich\af0\dbch\af15\loch\f0      }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5074236 
\hich\af0\dbch\af15\loch\f0   }{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f0\fs20\insrsid5074236 \hich\af0\dbch\af15\loch\f0  (Seal / Signature)                                      (Date)       }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\expnd0\expndtw2\hich\af0\insrsid5074236 
\par 
\par }\pard \ltrpar\qj \fi244\li0\ri0\nowidctlpar\wrapdefault\hyphpar0\nooverflow\aspalpha\aspnum\faroman\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af15\afs24 \ltrch\fcs0 \fs24\insrsid5074236 \loch\af15\hich\af15\dbch\f15 \'81\'a6}{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid5074236 \hich\af0\dbch\af15\loch\f0  Students only}{\rtlch\fcs1 \af0 \ltrch\fcs0 \expnd0\expndtw2\hich\af0\insrsid5074236 
\par \ltrrow}\trowd \irow0\irowband0\lastrow \ltrrow\ts11\trgaph52\trrh2798\trleft0\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrl\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1 \trbrdrr\brdrs\brdrw10\brdrcf1 \trbrdrh\brdrs\brdrw10\brdrcf1 \trbrdrv
\brdrs\brdrw10\brdrcf1 \trftsWidth1\trpaddl52\trpaddr52\trpaddfl3\trpaddfr3\tblind98\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrs\brdrw10\brdrcf1 
\cltxlrtb\clftsWidth3\clwWidth8646\clpadt98\clpadr98\clpadft3\clpadfr3\clshdrawnil \cellx8646\pard \ltrpar\qj \li0\ri0\sl-396\slmult0
\nowidctlpar\intbl\dxfrtext142\dfrmtxtx142\dfrmtxty0\wrapdefault\hyphpar0\nooverflow\aspalpha\aspnum\faroman\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \expnd0\expndtw2\hich\af0\insrsid5074236 
\par 
\par }\pard \ltrpar\qj \li0\ri0\nowidctlpar\intbl\dxfrtext142\dfrmtxtx142\dfrmtxty0\wrapdefault\hyphpar0\nooverflow\aspalpha\aspnum\faroman\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5074236 \hich\af0\dbch\af15\loch\f0   }{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\ul\ulc1\insrsid5074236 \hich\af0\dbch\af15\loch\f0                          }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5074236 \hich\af0\dbch\af15\loch\f0                }{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\ul\ulc1\insrsid5074236 \hich\af0\dbch\af15\loch\f0                         }{\rtlch\fcs1 \af0 \ltrch\fcs0 \expnd0\expndtw2\hich\af0\insrsid5074236 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5074236 \hich\af0\dbch\af15\loch\f0           }{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f0\fs20\insrsid5074236 \hich\af0\dbch\af15\loch\f0  (Advisor)                                       
\hich\af0\dbch\af15\loch\f0 (Affiliation)      }{\rtlch\fcs1 \af0 \ltrch\fcs0 \expnd0\expndtw2\hich\af0\insrsid5074236 
\par }\pard \ltrpar\qj \li0\ri0\sl-396\slmult0\nowidctlpar\intbl\dxfrtext142\dfrmtxtx142\dfrmtxty0\wrapdefault\hyphpar0\nooverflow\aspalpha\aspnum\faroman\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \expnd0\expndtw2\hich\af0\insrsid5074236 
\par 
\par }\pard \ltrpar\qj \li0\ri0\nowidctlpar\intbl\dxfrtext142\dfrmtxtx142\dfrmtxty0\wrapdefault\hyphpar0\nooverflow\aspalpha\aspnum\faroman\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5074236 \hich\af0\dbch\af15\loch\f0   }{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\ul\ulc1\insrsid5074236 \hich\af0\dbch\af15\loch\f0                          }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5074236 \hich\af0\dbch\af15\loch\f0                }{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\ul\ulc1\insrsid5074236 \hich\af0\dbch\af15\loch\f0                         }{\rtlch\fcs1 \af0 \ltrch\fcs0 \expnd0\expndtw2\hich\af0\insrsid5074236 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5074236 \hich\af0\dbch\af15\loch\f0        }{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f0\fs20\insrsid5074236 \hich\af0\dbch\af15\loch\f0 
  (Seal / Signature)                                     (Date)           }{\rtlch\fcs1 \af0 \ltrch\fcs0 \expnd0\expndtw2\hich\af0\insrsid5074236 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \expnd0\expndtw2\hich\af0\insrsid5074236 \trowd \irow0\irowband0\lastrow \ltrrow\ts11\trgaph52\trrh2798\trleft0\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrl\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1 \trbrdrr
\brdrs\brdrw10\brdrcf1 \trbrdrh\brdrs\brdrw10\brdrcf1 \trbrdrv\brdrs\brdrw10\brdrcf1 \trftsWidth1\trpaddl52\trpaddr52\trpaddfl3\trpaddfr3\tblind98\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb
\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8646\clpadt98\clpadr98\clpadft3\clpadfr3\clshdrawnil \cellx8646\row }\pard \ltrpar\ql \li0\ri0\sl-396\slmult0
\nowidctlpar\wrapdefault\hyphpar0\nooverflow\aspalpha\aspnum\faroman\outlinelevel0\adjustright\rin0\lin0\itap0\pararsid5074236 {\rtlch\fcs1 \af0 \ltrch\fcs0 \expnd0\expndtw2\hich\af0\insrsid5074236 
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