UNIVERSITY OF SANTO TOMAS

Institute of Information and Computing Sciences

Department of Information Systems

GROUP DISSOLUTION FORM

[Date]
We here by declare that the following student/s is/are officially separated from our group with the
CAPSTONE PROJECT TITLE: [
CAPSTONE TITLE HERE
].
Name of Student/s to be separated:

Signature:

The following student separation / dissolution is due to [

WILL BE SEPARATED FORM THE GROUP ]

PUT REASON WHY THE STUDENT/S

The undersigned student/s will retain the capstone project: [ CAPSTONE PROJECT TITLE HERE
] of [ YEAR AND SECTION ] .

_______________________
Student 1 / Signature

_______________________
Student 2 / Signature

_______________________
Student 3 / Signature

Approved by:

[Capstone Project Coordinator]

UST-A005-02-F004 rev01 4/16/15