Republic of the Philippines

UNIVERSITY OF SOUTHERN MINDANAO

Kabacan, Cotabato

OFFICE OF THE DEAN OF THE GRADUATE

SCHOOL

APPLICATION FOR OUTLINE/FINAL DEFENSE

Name: __________________________________________ Date: _______________________

Application for [choose one]: ( ) Outline (Proposal) Defense ( ) Final Defense
Degree Sought: ( ) Ed.D./Ph.D. Major Field: ________________________
( ) MS/MA Minor Field: ________________________
O.R. No. ______________ Date Paid: ___________ Amount Paid: _____________
Examination Date: ______________ Time: ____________ Place: ______________________

Thesis/Dissertation/Title: ________________________________________________________________
_____________________________________________________________________________________

Adviser Examining Committee

Major _____________________________ ____________________________

Minor ____________________________ ____________________________

____________________________
(third member for Doctoral students only)

RECOMMENDING APPROVAL: APPROVED:

_______________________ ___________ __________________________ ___________
Program Head Dean Date
Comprehensive Exam: ______________ __________________________ __________
Verified by: ______________________ VP Academic Affairs Date
GS Secretary
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REPORT OF RESULT OF OUTLINE/FINAL DEFENSE
(to be completed after the defense)

Type of Defense [choose only one]: ( ) Outline ( ) Final

Adviser Action Examining Committee Action

Chairman _____________________ ___________ _____________________ __________

___________________ ___________ _____________________ __________

_____________________ __________
(third member for Doctoral students only)

RECOMMENDING APPROVAL: APPROVED:

_______________________ ___________ __________________________ ___________
Program Head Dean Date
__________________________ ___________
VP Academic Affairs Date
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