Thesis/Dissertation Co-Author Contribution Disclosure Form
Student Name
Thesis/Dissertation Title
Degree Program
Advisor/Supervisor Name
Date
Co-Author Details & Contributions
Co-Author Name
Affiliation
Section/Chapter Involved
Contribution Description
Additional Comments (if any)
Declarations
I hereby declare the above contributions are accurately represented and all co-authors have been informed.
Student Signature
Date
Advisor/Supervisor Signature
Date