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FORM 0064N – Hearing Certification HEARING CERTIFICATION Check appropriate line(s) _____ I was aware of the hearing held by (Chapter/colony name) Chapter at (location of hearing) on (date) at (time) regarding (charges) charges against me. _____ I chose not to attend. _____ I was unaware of the expulsion hearing on (date). Date ________________________________________________ Signature of Charged Member Delta Sigma Phi Headquarters, 2960 N. Meridian Street, Indianapolis, IN 46208 | [email protected]
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Delta Sigma Phi · Web viewDelta Sigma Phi Headquarters, 2960 N. Meridian Street, Indianapolis, IN 46208 | [email protected] FORM 0064N – Hearing Certification HEARING CERTIFICATION

Mar 08, 2021

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Page 1: Delta Sigma Phi · Web viewDelta Sigma Phi Headquarters, 2960 N. Meridian Street, Indianapolis, IN 46208 | info@deltasig.org FORM 0064N – Hearing Certification HEARING CERTIFICATION

FORM 0064N – Hearing Certification

HEARING CERTIFICATION

Check appropriate line(s)

_____ I was aware of the hearing held by (Chapter/colony name) Chapterat (location of hearing) on (date) at (time) regarding (charges) chargesagainst me.

_____ I chose not to attend.

_____ I was unaware of the expulsion hearing on (date).

Date ________________________________________________

Signature of Charged Member

Delta Sigma Phi Headquarters, 2960 N. Meridian Street, Indianapolis, IN 46208 | [email protected]