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{\large\sc massachusetts institute of technology}\\[\smallskipamount]

{Department of Electrical Engineering and Computer Science}\\[\medskipamount]

Graduate Office, Room 38-444\\[\bigskipamount]

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To: Graduate Students enrolled in subjects 6.961--9

From: Department Graduate Office

Subject: Description of Special Study and/or Research Problem

In the space below, please give a brief description of the work to be
performed under 6.961--9 or \hbox{6.991--9} registration.  (Use a separate
form for each subject.)  This statement must be endorsed by the
faculty member who will give the grade and is to be delivered to the
Department Graduate Office (38-444) prior to the following dates:

1. for 6.962--9 and/or 6.991--9: 4th Friday of the Term

2. for 6.961: 6th Friday of the Term

A student who registers for 6.991--9 must submit a {\em written
report\/} to his supervisor before the end of the registration term.
If a report is not submitted, further registration under 6.991--9 will
be refused.

Subject: 6.96? or 6.99?
\hfill
{\bf Problem Statement}
\hfill
Units: 12 or 24 (circle one)


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Student signature:\enskip\brule{3in}
\hfill
Date:\enskip\brule{1in}

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\centerline{\bf Faculty Supervision Agreement}

The problem outlined is adequate for Graduate G credit.  I am willing
to supervise the problem and submit an appropriate grade to
Ms.~Pierce, 38-444, on or before the day preceding the final
examination period.  For 6.961--9, permitted grades are A, B, C, D, F,
I; for 6.991--9, permitted grades are P or~F.

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Faculty Supervisor's signature:\enskip\brule{2in}
\hfill
Date:\enskip\brule{1in}

(Registration of non-Course~VI students and/or supervision by
non-Course~VI faculty member subject to approval of Professors
in-charge; D.~J.~Epstein for 6.961--9, A.~C.~Smith for 6.991--9.)

Student name: 
\hfill
Faculty supervisor: 

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\centerline{\bf Return form when completed to Room 38-444}

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