Republic of the Philippines

Laguna State Polytechnic University

Province of Laguna

THESIS ADVISER NOMINATION

Approved Title of the Research:

Student/s Name and Signature: 1.
2.
3.

4.

Degree Sought :

I/we, hereby nominate as ___________________ ( ex. Thesis Adviser)

Name of Faculty :
College :
Field of Specialization :

I, hereby indicate my willingness to serve as the Thesis Adviser.

Signature of Faculty : _____

Date Signed

Endorsed By: Recommending Approval:

ENGR. ROMEO SOLITARIO JR. _ENGR. JONNEL K. PABICO, PECE

Research Coordinator Dean/Associate Dean

APPROVED/DISAPPROVED:

DR. RINA J. ARCIGAL

R&D Director/Chairperson