REQUEST FOR COMPOSITION OF THESIS ADVISORY COMMITTEE

Date____________________

The Dean
College of Criminal Justice Education
This University

Sir/Ma’am:

We____________________________a graduate student of Eastern Samar State

University, Can-avid Campus taking up the degree of
_____________________________________with major/specialization in
___________________________________requested for the composition of our THESIS
ADVISORY COMMITTEE to include the following:

Name Signatures

Major Adviser:
Members:

The signatures opposite each name of the faculty indicate acceptance/willingness

to serve as our advisers, hence favorable action is sought.

Very truly yours,

________________________
Name of Student

Action:

Based on qualification, trainings, competence, and other considerations on the

proposed committee membership, your request is ___________approved____________

Remarks: ________________________________

______________________
Dean

______________________
Date

ESSU-ACAD-901 | Version 4 Page 1 of 1

Effectivity Date: June 10, 2021