AGREEMENT BETWEEN ADVISER AND ADVISEES & ACCEPTANCE OF PANEL MEMBERS

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IMPORTANT INFORMATION:
• The Adviser should sign the conforme on or before the first week of the Thesis Proposal term/semester.
• This form should be submitted by Advisees to the course Facilitator or Program chair on or before second week of the Thesis
Proposal term/semester. Copies: (1) Student, (1) Adviser, (1) Program Chair, (1) ORDI – scanned only uploaded to Sharepoint.

TENTATIVE RESEARCH TITLE:_______________________________________________________

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GROUP CODE: COURSE: COURSE CODE: SECTION: A.Y. /TERM OR SEM

STUDENT NAME/S (SURNAME, SIGNATURE W/

STUDENT NUMBER PROGRAM OF STUDY MOBILE NUMBER
GIVEN NAME MI.): DATE
(1)

(2)

(3)

(4)

(5)

Note: Do not leave blank. Put N/A – Not Applicable where appropriate.

*********************************************** CONFORME
OF ADVISER ***********************************************
I hereby accept the responsibility of supervising the student advisees listed above for the proposed research project.
PRINTED NAME (SURNAME, GIVEN SIGNATURE W/
ROLE RELEVANT DEGREE MOBILE NUMBER
NAME MI.): DATE
Adviser

**************************************** CONFORME OF PANEL MEMBERS ****************************************

I hereby accept the responsibility as Panel Member for the Research Thesis/Capstone Project.
PRINTED NAME (SURNAME, GIVEN SIGNATURE W/
ROLE RELEVANT DEGREE MOBILE NUMBER
NAME MI.): DATE
Panel Chair

Panel Member

Panel Member

PREPARED BY: ENDORSED BY: APPROVED BY: NOTED BY:

Cristopher Josef P. Noble Cristopher Josef P. Noble Dr. Joy G. Hofileña Dr. Gernelyn T. Logrosa
Course Coordinator Program Chair Dean/Principal Head
(Signature over printed (Signature over printed name/date) (Signature over printed name/date) Office for Research, Development
name/date) & Innovation (ORDI)