Department of Electrical Engineering

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Course and No. __________________________________________ Section ___________________________
Problem Set or Experiment No. ______________________________________________________________
Title of Report _____________________________________________________________________________
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Name of Student ___________________________________________________________________________
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Name of Associates:

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Date Performed ___________________________

Date Presented ________________________

Instructor _________________________________
(The Following blanks are not to be filled in by the student)
Date Returned for Correction __________________
Date Received Corrected ______________________
Date of Final Approval ________________________

Remarks ______________________________

Grade _______________________________

APPROVED _____________________________