Republic of the Philippines

Laguna State Polytechnic University

Province of Laguna

TITLE DEFENSE FORM

COLLEGE OF ___________________

Date: _____________

Title 1: ________________________________________
Title 2: ________________________________________
Title 3: ________________________________________

Proponent 1: ___________________________________
2: ___________________________________
3: ___________________________________
4: ___________________________________

Signature
Panel 1: _____________________________________ ____________________

Panel 2: _____________________________________ ____________________

Panel 3: _____________________________________ ____________________

Panel 4: _____________________________________ ____________________

Panel 5: _____________________________________ ____________________

Panel 6: _____________________________________ ____________________

Approved Title: _____________________________________________________

____________________________ ____________________________
Research Unit Head Dean/Associate Dean

LSPU-ACAD-SF-031 Rev. 0 10 August 2016