CMKL: 41-910 Research and Development Registration Form
Student Information
Student ID
*
Number ID
Student Email
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example@example.com
Title
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Mr.
Mrs.
Ms.
Student Name
*
Contact Number
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Degree
*
Undergraduate
Masters
Doctoral
Program
*
Artificial Intelligence and Computer Engineering
Artificial Intelligence Innovation
Electrical and Computer Engineering
Technology and Creative Innovation
Current Semester
*
Fall
Spring
Summer
Current Year
*
Course Information
Register for Semester
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Fall
Spring
Summer
Register for Year
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CMKL 41-910 Research & Development
*
12 units
24 units
36 units
Student Signature
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Date
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Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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