ATTESTATION BY SUPERVISORS

This is to attest that the Dissertation titled: “……………………………………………………………..

…………………………………………………………………………………….…” [Title of Dissertation]

was carried out by Dr. ………………………………………………………………………………….

[Name of Candidate]

under our supervision.

SUPERVISOR I

NAME:

FELLOWSHIP TITLE: [E.G. FMCPsych]

DESIGNATION: [E.G. CONSULTANT PSYCHIATRIST]

ADDRESS: [E.G. DEPT. OF MENTAL HEALTH, ………..]

SIGNATURE & DATE:

SUPERVISOR II

NAME:

FELLOWSHIP TITLE: [E.G. FMCPsych]

DESIGNATION: [E.G. CONSULTANT PSYCHIATRIST]

ADDRESS: [E.G. DEPT. OF MENTAL HEALTH, ………..]

SIGNATURE & DATE: