DGC 06

No. .......................................
Date. .......................................
Time. .......................................

MAE FAH LUANG UNIVERSITY

A Request Form for Advisor Appointment of Dissertation/Thesis /Master Project/Independent Study
PART 1: For Student
1.1 Personal details
Name Mr. / Miss / Mrs. SIRILAK THONGNUCH
Student ID 5851701288
Study program Master of Science Program in Cosmetic Science
Major Cosmetic Science
Plan B
School of Cosmetic Science
E-mail: pp-44-oo@hotmail.com
Phone 0836669917
Study level
Ph.D. Degree
Master's Degree
Main advisor
Co-advisor 1.
2.
3.
4.

Arjan Dr. Punyawatt Pintathong

Signed
MISS SIRILAK THONGNUCH

Date
_____/____/____

Part 2 :For the School

2.1 Program Administrative committee
The committee meeting on (Date)
The committee has already verified that the above advisors are qualified according to the postgraduage's regulation and approve the
advisors listed above.
Programs head

Signed
(

Date
_____/____/____

2.2 School Executive Committee

The committee meeting on (date)________________________________________has approved the above appointment.
Appointment advisor, co-advisor(if any).
School of

Dean
(

Date
_____/____/____