NB: Copy the template below onto the official letterhead of the institution of the signing official. Examples of appropriate signing officials include, and are not limited to, a department chair, dean, organization president, school principal, or other official of your institution.
On (date), before me, (print signing official’s name here), personally appeared (print researcher’s name here). As an official representative of (institution), I attest that (print researcher’s name here) is personally known to me and is a member in good standing of our institution.
Signature of signing official:
Name of signing official:
Official title of signing official:
Contact information for signing official:
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