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American Degree Transfer Program

Course:

Course Code:

Assignment Number & Title:

Name of Lecturer: Lecturer’s Name

Name(s): Student ID Number(s):

Type name(s) here ID number(s) here

I/We declare that this is my/our own original work and any
contributions made by others have been properly acknowledged and/or
referenced.

Signed: (Append the signatures of all the people named above in the same order)

Date of Submission:

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