DCHET-R03B
Mindanao State University-Iligan Institute of Technology
Revision Effective Date
Department of Chemical Engineering and Technology
00 05.01.2026
FINAL THESIS MANUSCRIPT ACCEPTANCE FORM
(This form should be fully accomplished and submitted by the students at least 1 week prior to the scheduled thesis oral defense of that term.
Multiple copies of the file in A4 must be furnished to (1) Student, (1) Adviser, (1) Research Coordinator, (1) for each panel member)
RESEARCH TITLE: ____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Date and Time of Oral VENUE
Defense (mm/dd/yr; hh:mm AM/PM)
GROUP CODE COURSE CODE COURSE TITLE SECTION ACAD YR/ TERM
STUDENT NAME ID NUMBER PROGRAM SIGNATURE
(Surname, Given Name, M.I.) (Include the date in mm/dd/yr)
(1)
(2)
(3)
Write N/A for entries where appropriate.
**************************************CONFORME OF THE PANEL MEMBERS***********************************
I certify that I HAVE RECEIVED the thesis manuscript in prescribed form within the MANDATORY SEVEN
(7) DAYS prior to the scheduled defense date. I pledge to thoroughly review the document and evaluate the
student's work to the best of my professional ability.
Examination Printed Name Manuscript Copy Signature
Committee (Dr./Prof/Engr/ Given Name, MI, Last Name) (Hardcopy or Electronic Copy) (Include the date in mm/dd/yr)
Panel Chairperson
Panel Member 1
Panel Member 2
If an electronic copy is selected, be sure to secure a proof of submission (ex: an email screenshot with date and timestamp), as the research
coordinator may deem it necessary to produce it for future reference.
XXXXXXXXXXXXXXXXXXXXXXRECOMMENDATIONXXXXXXXXXXXXXXXXXXXXXXXXXX
The students listed above have completed all requirements and are hereby APPROVED to proceed to their final oral
thesis examination as scheduled.
Endorsed: Approved:
____________________________ ___________________________
Research Coordinator, DCHET Chairperson, DCHET