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MATH PROFICIENCY SELF-DECLARATION

(For MArch, MA Applied Economics, MS Bioengineering, Bioinformatics, Chemical, Civil, Electrical & Computer,
Industrial, Materials, Mechanical Engineering, Masters in Energy Engineering, MS Business Analytics, MS Finance,
MS Management Information Systems, MS Marketing, MS in Supply Chain and Operations Management students.)

By signing this declaration page, you are certifying that you have successfully completed the mathematics self-evaluation
and meet the minimum mathematics proficiency as outlined in the mathematics self-evaluation. You understand that you
will be summarily dismissed from UIC Global for any false statements or misrepresentations regarding your performance
on said evaluation or mathematics proficiency generally, and may lose your immigration status and be reported to the
SEVIS database of the U.S. Department of Homeland Security for such dismissal.

Name (PRINT):

Signature: Date:

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