/ Mahidol
University / BT-G-01 / Department of Biotechnology
Faculty of Science

Approval of External Examiner for Oral Thesis Defense Examination

ACADEMIC INFORMATIONStudent #: SCBT/

1.Full Name: ______

 Mr/ MsLast/Family NameFirst/Given NameMiddle NameSuffix

2.Area of study: Agricultural Biotechnology, AB Food Biotechnology, FB

 Industrial Biotechnology and Bioprocess Engineering, IB Molecular and Medical Biotechnology, MB

3.Major advisor:______

4.Thesis/Dissertation Title: ______

______

5.English Proficiency: Test ______Date: ______6. GPA: ______

7.Presentation(s):

1.Oral/Poster Title: ______

Meeting Title: ______

Venue: ______Date: ______

2.Oral /Poster Title: ______

Meeting Title: ______

Venue: ______Date: ______

8.Publication(s):(Fill item 1 AND / OR 2, M.Sc. studentID 52,whopublished in proceeding, onwardsMUSTfill item 3 too.)

1. Paper

Published  Accepted  Submitted

Title:______

Journal Title: ______Y: ______V: _____Page(s): ______Date of acceptation______

2Proceeding Title:______

Meeting Title: ______

Venue: ______Date: ______

3.Draft manuscriptTitle:______

Tentative JournalTitle: ______

9.Teaching Training:

SubjectSemesterAcademic year

10.Thesis/Dissertation Oral Defense Examination Date: ______Time: ______Place: ______

11.External Examiner Name: Lect. / Asst. Prof. / Assoc. Prof. / Prof. ______

Highest degree obtained: ______Position: ______Affiliation: ______

(Signature) ______

( ______)

Major advisor

Date: ______

APPROVAL OF THE ADMINISTRATIVE PROGRAM COMMITTEE

1)Lect. / Asst. Prof. / Assoc. Prof. / Prof. ______Director

approved/not approved(Chuenchit Boonchird)Date ______

Comment: ______

2)Lect. / Asst. Prof. / Assoc. Prof. / Prof. ______AB member

approved/not approved(Jarunya Narangajavana)Date ______

Comment: ______

3)Lect. / Asst. Prof. / Assoc. Prof. / Prof. ______FB member

approved/not approved(Apinya Assavanig)Date ______

Comment: ______

4)Lect. / Asst. Prof. / Assoc. Prof. / Prof. ______IB member

approved/not approved(Somchai Chauvatcharin)Date ______

Comment: ______

5)Lect. / Asst. Prof. / Assoc. Prof. / Prof. ______MB member

approved/not approved(Sujinda Thanaphum)Date ______

Comment: ______

6)Lect. / Asst. Prof. / Assoc. Prof. / Prof. ______Secretary & member

approved/not approved(Attawut Impoolsup)Date ______

Comment: ______

(Signature)______

(Assoc. Prof. Chuenchit Boonchird)

Director of the Administrative Program Committee

Date: ______

NOTE:1.Approval should be SIGNED at least 15 days before submission of GR 2 form to the Faculty of Graduate Studies.

2.The following documentsMUST BE attachedwith this form:

2.1copy of administrative order on “Title of Thesis and Thesis Advisory Committee”

2.2evidence(s) to support presentation

(copy of abstract book cover and abstract page with student name appeared)

2.3evidence(s) to support publication

(copy of the following document, if any:

2.2.1 Paper: - Published - hard copy of paper

- Accepted - accepted letter

- Submitted - manuscript number and confirmation letter

2.2.2 Proceeding: - hard copy of proceeding and accepted letter)

2.4Draft manuscript (M.Sc. Student ID 52 who publish in proceeding onwards)

2.5external examiner’s CV

File: BT-G-015 August 2010Page 1 of 2