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Appendix 1 Form 1
Republic of the Philippines

SULTAN KUDARAT STATE UNIVERSITY
ACCESS, EJC Montilla, Tacurong City, Sultan Kudarat
College of Health Sciences
APPLICATION FOR THESIS TITLE

Appendix2
Date
_____________________________ _________ _________
Remarks Signature
_____________________________ _________ _________
Remarks Signature
_____________________________ _________ _________
Remarks Signature
I am planning to write my thesis outline on ________________, at SKSU

ACCESS Campus.
Very respectfully yours,
_____________________________________________________
Students
Recommending Approval:
__________________________________ _________________________
Member Member
_____________________________
Adviser
Endorsed:
GRACIELA LOU M. NALLOS, RN, MAN

Research Coordinator
____________
Date Signed
Approved:
CARMELA CAMILA B. URBANO, RN, MAN

College Dean
____________
Date Signed
Appendix 2 Form 2
NOMINATION OF GUIDANCE COMMITTEE
We, _____________________________________________________________
students of BS in Nursing hereby nominate the following as adviser and members of my
thesis guidance committee.
______________________________
Adviser
_______________________________ ______________________________
Member Member
We, hereby certify our willingness to act as adviser / members of the guidance
committee.
______________________________
Adviser
______________________________ ______________________________
Member
Member
Endorsed:
GRACIELA LOU M. NALLOS, RN, MAN

______________
Date Signed
Approved:

College Dean
Appendix 3 SULTAN KUDARAT STATE UNIVERSITY Form 3
________________
Date Signed
APPLICATION FOR THESIS OUTLINE DEFENSE

Appendix 4
Name: ________________________________ Course/Major: BSN
I have the honor to apply for outline defense for my study entitled:
“_______________
__________________________________________________________________.”
Time: _______
Date: ____________________
Venue: College of Health Sciences
________________________________ ________________________________
Member Member
________________________________ ________________________________
Statistician English Critic
________________________________
Adviser
Endorsed:
GRACIELA LOU F. MANA-AY, RN, MAN

Approved:

College Dean
Appendix 4 Form 4
APPROVAL OF THESIS OUTLINE
Name:________________________________ Course/Major: BS NURSING

Major: Click here to enter text.
Thesis Title: ________________________________________________________
______________________________________________________________________
APPROVED BY THE GUIDANCE COMMITTEE
________________________________ __________ __________

Adviser Signature Date
________________________________ __________ __________

Member Signature Date
________________________________ __________ __________

________________________________ __________ __________

English Critic Signature Date
Endorsed:
GRACIELA LOU F. MANA-AY RN, MAN COLLEGE DEAN

Approved:

College Dean
Appendix 5 Form 5
CERTIFICATION OF ENGLISH CRITIC
This is to certify that the thesis entitled KNOWLEDGE AND ACCEPTANCE OF

HUMAN PAPILLOMAVIRUS VACCINE AMONG PARENTS OF TEENAGE
DAUGHTERS IN LUTAYAN SULTAN KUDARAT conducted on
____________________________ authored by BALINO, ALEXA S., CAGADAS KYN
MARIE M., DORERO, MA. BEATRIZ S., PAGLAS, MARIAM GRACE F.,
PANGULIMA, BAINALYN B., was edited by the undersigned as to its grammar.
Issued on this ______ day of _____________.
ROSELA O. SAZON
English Critic
Noted:

College Dean
Appendix 6 Form 6
APPLICATION FOR THESIS FINAL DEFENSE EXAMINATION

Appendix 9
Name: ALEXA JAYE S. BALINO, KYN MARIE M. CAGADAS, Course/Major: BSN
MA. BEATRIZ S. DORERO, MARIAM GRACE F. PAGLAS,
BAINALYN B. PANGULIMA
Thesis Title: KNOWLEDGE AND ACCEPTANCE OF HUMAN PAPILLOMAVIRUS

VACCINE AMONG PARENTS OF TEENAGE DAUGHTERS IN LUTAYAN SULTAN
KUDARAT
Please write whether: (/) First ( ) Second ()Third

Date: Time: _________________ Venue: _________
Guidance Committee
CHIRADEE MAY P. MARQUEZ, RN, MAN __________ __________

Adviser Signature Date
IRIL I. PANES, RN, MAN, PhDSci __________ __________

GINA S. CUENCA, RN, MAN __________ __________

TEFFANY D. GONZAGA, MS __________ __________

ROSELA O. SAZON __________ __________

English Critic Signature Date
Endorsed:

Approved:

College Dean
Appendix 7 Form 7
Report on the Result of Final Defense

(Action taken by the Guidance Committee. Please indicate whether Passed or Failed)
Signature D a t e R e m a r k s
Approved:

College Dean
Appendix 8 Form 8
APPLICATION FOR THESIS FINAL PRINTING AND BINDING
This is to certify that the thesis entitled KNOWLEDGE AND ACCEPTANCE OF
HUMAN PAPILLOMAVIRUS VACCINE AMONG PARENTS OF TEENAGE
DAUGHTERS IN LUTAYAN SULTAN KUDARAT was thoroughly reviewed by the
guidance committee and recommended for final printing and binding.
ROSELA O. SAZON
English Critic
______________
Date Signed
IRIL I. PANES, RN, MAN, PhDSci GINA S. CUENCA, RN, MAN

Member Member
______________ ______________
Date Signed Date Signed
CHIRADEE MAY P. MARQUEZ, RN, MAN

Adviser
_________________
Date Signed
Recommending Approval:

______________
Date Signed
Approved:

College Dean
Appendix 9 SULTAN KUDARAT STATE UNIVERSITY Form 9
____________________
Date Signed
(Date here)

Dean, College of Health Sciences
Sultan Kudarat State University
ACCESS, EJC Montilla, Tacurong City
Ma’am,
Good day!
zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz
zzzzzzzzzzzzzzzzzzzzzzzzzzzzz
Very truly yours,
__________________________________
Researcher
Noted by:
___________________________________
Thesis Adviser
Approved:

DeDean, College of Health and Sciences

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Appendix 1 Form 1

Republic of the Philippines

APPLICATION FOR THESIS TITLE

_____________________________ _________ _________

_____________________________ _________ _________

_____________________________ _________ _________

I am planning to write my thesis outline on ________________, at SKSU

GRACIELA LOU M. NALLOS, RN, MAN

CARMELA CAMILA B. URBANO, RN, MAN

NOMINATION OF GUIDANCE COMMITTEE

students of BS in Nursing hereby nominate the following as adviser and members of my

thesis guidance committee.

GRACIELA LOU M. NALLOS, RN, MAN

CARMELA CAMILA B. URBANO, RN, MAN

APPLICATION FOR THESIS OUTLINE DEFENSE

Name: ________________________________ Course/Major: BSN

GRACIELA LOU F. MANA-AY, RN, MAN

CARMELA CAMILA B. URBANO, RN, MAN

APPROVAL OF THESIS OUTLINE

Name:________________________________ Course/Major: BS NURSING

APPROVED BY THE GUIDANCE COMMITTEE

________________________________ __________ __________

________________________________ __________ __________

________________________________ __________ __________

________________________________ __________ __________

GRACIELA LOU F. MANA-AY RN, MAN COLLEGE DEAN

CARMELA CAMILA B. URBANO, RN, MAN

CERTIFICATION OF ENGLISH CRITIC

This is to certify that the thesis entitled KNOWLEDGE AND ACCEPTANCE OF

Issued on this ______ day of _____________.

CARMELA CAMILA B. URBANO, RN, MAN

APPLICATION FOR THESIS FINAL DEFENSE EXAMINATION

Thesis Title: KNOWLEDGE AND ACCEPTANCE OF HUMAN PAPILLOMAVIRUS

Please write whether: (/) First ( ) Second ()Third

CHIRADEE MAY P. MARQUEZ, RN, MAN __________ __________

IRIL I. PANES, RN, MAN, PhDSci __________ __________

GINA S. CUENCA, RN, MAN __________ __________

TEFFANY D. GONZAGA, MS __________ __________

ROSELA O. SAZON __________ __________

GRACIELA LOU F. MANA-AY, RN, MAN

CARMELA CAMILA B. URBANO, RN, MAN

Report on the Result of Final Defense

CARMELA CAMILA B. URBANO, RN, MAN

APPLICATION FOR THESIS FINAL PRINTING AND BINDING

This is to certify that the thesis entitled KNOWLEDGE AND ACCEPTANCE OF

HUMAN PAPILLOMAVIRUS VACCINE AMONG PARENTS OF TEENAGE

DAUGHTERS IN LUTAYAN SULTAN KUDARAT was thoroughly reviewed by the

guidance committee and recommended for final printing and binding.

IRIL I. PANES, RN, MAN, PhDSci GINA S. CUENCA, RN, MAN

CHIRADEE MAY P. MARQUEZ, RN, MAN

GRACIELA LOU F. MANA-AY, RN, MAN

CARMELA CAMILA B. URBANO, RN, MAN

CARMELA CAMILA B. URBANO, RN, MAN

Very truly yours,

CARMELA CAMILA B. URBANO, RN, MAN

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_________________________ _ _____

_________________________ _ _____

_________________________ _ _____

____________________

____________________

____________________

____________________

Issued on this day of _______.

CHIRADEE MAY P. MARQUEZ, RN, MAN

IRIL I. PANES, RN, MAN, PhDSci

GINA S. CUENCA, RN, MAN

TEFFANY D. GONZAGA, MS

ROSELA O. SAZON