CPHS Request & Checklist for Qualifying Examination Form
Please submit this form, you will receive the form via email, and send to your advisor for their signature. After that, send the form via email or print out to the Academic Administration Office (12th FL) 14 days before examination date together with 
1) Request form, 2) Checklist form, 3) External Examiner's CV (if any), 4) Copy of the paper for Oral Examination, 5) First page showed percent of plagiarism by Turn it in program
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Name *
*** Example : Mr./Mrs./Ms. A ***
Student ID *
*** Example : 67 12345 6XX ***
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