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Appendix D. Application for Thesis Outline Defense
UNIVERSITY OF SOUTHERN MINDANAO
Kabacan, Cotabato Colleg
Philippines e Seal

APPLICATION FOR THESIS OUTLINE DEFENSE

Name
Degree/Major
Thesis Title
Date of Examination
Time
Place

MEMBERS OF THE EXAMINING COMMITTEE

Name Signature Date

_______________________________________ __________________ __________________

_______________________________________ __________________ __________________
_______________________________________ __________________ __________________
RECOMMENDING APPROVAL:

_______________________________
Adviser
APPROVED:

_______________________________ _______________________________
College Statistician Department Chairperson
(Optional)

_______________________________
Department Research Coordinator

REPORT ON THE RESULT OF EXAMINATION

Name Signature Remarks
_______________________________________ __________________ __________________
_______________________________________ __________________ __________________
_______________________________________ __________________ __________________
_______________________________________ __________________ __________________
_______________________________________ __________________ __________________

APPROVED:

_______________________
Department Research Coordinator

_______________________
Date

USM-EDR-F07-Rev.3.2020.02.24