Image0027

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REFEREEIS REPORT (1/2) Pleasecompleteandreturnto recommending institution! Apolicationscannotbe reviewedwithout referee'sreports! R to be Name of Applicant: Department: Institution: Citv/Countrv:

Name of Referee:

Department: Institution: City/Country: PART 2 (to be completed bv referee) Pleasegiveyour opinionof the applicant's professional qualifications, acadernic/ character, adaptability, the significance andfeasibilityof theirproposalandtheindividualpotential.

Refereetssignature:

Date:

rzt t4 iilf:l::fl\\.\i,'r''r

, , r . \ ! r l f i i i \ . , A i _ i l \ i . ] l i : i r i l , ' : . r i : l : i:')li:.i'Ai f t l l - . { i : t i . i r t - i - . : r l ' \ l l: : , - \ i t t l \ l APPLIC'ATIoNFORI,I

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