PART 6 : FORMS

DE LA SALLE UNIVERSITY – DASMARINAS

Dasmarinas, Cavite
College of Engineering, Architecture and Technology

Conforme :

______________________
Date

To Whom It May Concern:

This is to certify that we have read and fully understood the CEAT Policy Manual
on Undergraduate Thesis Writing and agreed to comply with the said requirements.

________________________ ________________________
Student’s Name and Signature Parent’s Name and Signature

________________________
Course / Year / Section
 DE LA SALLE UNIVERSITY – DASMARINAS
Dasmarinas, Cavite
College of Engineering, Architecture and Technology
Engineering Department

The undergraduate thesis proposal entitled “<Title of thesis>“prepared and

presented by <name of Thesis Students>on an Oral Defense last <date of oral
defense> has been examined and is recommended for approval and acceptance in
Thesis 2 (Title of Subject )

_______________________________

<Name of Thesis Adviser>

_______________________________

<Chair of Panel Members>

_______________________________ _______________________________

< Name of Panel Member> < Name of Panel Member>

_______________________________

<Name of Program Head or Department Chair>

Program Head or Department Chair,< Name of the Program or Department>
 APPROVAL SHEET
} 2 spaces
}
This thesis entitled 1 space
}
“Title of the research project”
} 1 space
Prepared and submitted by <Thesis Students> in partial fulfillment of the requirements
for the degree of Bachelor of Science in _____________________ is recommended for
acceptance and approval for ORAL EXAMINATION.
} 2 spaces
}
__________________________________
<Name of Adviser>
ADVISER
} 2 spaces
}
Approved by the Committee on Oral Examination with a grade of _____ on ________,
20__.
} 2 spaces
}
_____________________________
<Name of Chair of Panel Member>
CHAIR
} 2 spaces
}
_____________________________ _____________________________
<Name of Panel Member1> <Name of Panel Member2>
MEMBER MEMBER
} 2 spaces
}
Accepted in partial fulfillment of the requirements for the degree of Bachelor of Science
in_______________________
}
2 spaces
}
_____________________________
<Name of Program Head>
PROGRAM HEAD, <PROGRAM>
}
}
_____________________________
<Name of Department Chair>
CHAIR, <DEPARTMENT >
} 2 spaces
}
_____________________________
<Name of College Dean>
DEAN, <NAME OF COLLEGE>
 DE LA SALLE UNIVERSITY – DASMARINAS
Dasmarinas, Cavite
College of Engineering, Architecture and Technology

ADVISER ’S ACCEPTANCE FORM

To : _____________________
<Thesis Subject Teacher >

I , hereby accept the thesis students/proponent:

1. <Name of Thesis Student 1>

2. <Name of Thesis Student 2>
3. <Name of Thesis Student 3>

for their study entitled;

<Title of thesis study>

For this, I am fully aware of the privileges and responsibilities I am committing myself into for the
aforementioned student.

Conforme :

_________________________
printed name over signature
<Name of Thesis coAdviser>
THESIS co ADVISER

_________________________
printed name over signature
<Name of Thesis Adviser>
THESIS ADVISER

_________________________
printed name over signature
<Name of Subject Teacher>
SUBJECT TEACHER

Note: Copies of this form shall be kept by thesis students, thesis adviser and subject teacher.
 DE LA SALLE UNIVERSITY – DASMARINAS
Dasmarinas, Cavite
College of Engineering, Architecture and Technology

APPLICATION FOR CHANGING THESIS ADVISER

I. Student Information:
a. Name of Thesis Student(s):
1._________________________ 2. _______________________ 3. __________________________

b. Reason(s) for Changing the Thesis Adviser:

_____________________________________________________________________________________

c. Please attach an update of your ongoing research and research plan upon submission of this
application to the new thesis adviser.

II. Instruction to the New Thesis Adviser:

Please sign below to indicate that you are willing to serve as the thesis adviser.
Adviser’s Signature: __________________________________ Date: ____________
Co-Adviser’s Signature: _______________________________ Date: ____________

III. Instruction to the Initial Thesis Adviser: (if still connected with DLSU-D)
Please sign below to acknowledge that you are aware of the request to change thesis adviser.
Adviser’s Signature: __________________________________ Date: ____________
Co-Adviser’s Signature: _______________________________ Date: ____________

IV. Instruction to the Student:

Please sign below and return the form to the thesis subject teacher.
Thesis Student 1: ____________________________________ Date: ___________
Thesis Student 2: ___________________________________ Date: ___________
Thesis Student 3: ____________________________________ Date: ___________

Approved by:

______________________________
<Name of Subject Teacher >
Subject Teacher,<Name of Subject >

________________________________ ________________________________
<Name of Program Head/Coordinator> <Name of Department Chair>
Program Head, <Name of Program> Chair, <Name of Department>

Note: Copies of this form shall be kept by thesis students, previous thesis adviser, new thesis adviser and subject teacher.
 DE LA SALLE UNIVERSITY – DASMARINAS
Dasmarinas, Cavite
College of Engineering, Architecture and Technology

APPLICATION FOR CHANGING THESIS PANEL MEMBER

(Final Defense)

I. Student Information:
a. Name of Thesis Student(s):
1._________________________ 2. _______________________ 3. __________________________

b. Reason(s) for Changing the Thesis Panel Member:

_____________________________________________________________________________________

c. Please attach an update of your ongoing research upon submission of this application to the new
thesis panel member.

II. Instruction to the New Thesis Panel Member:

Please sign below to indicate that you are willing to serve as a thesis panel member.
New Panel Member’s Signature: ________________________ Date: ____________

III. Instruction to the Student:

Please sign below and return the form to the thesis subject teacher.
Thesis Student 1: ____________________________________ Date: ___________
Thesis Student 2: ___________________________________ Date: ___________
Thesis Student 3: ____________________________________ Date: ___________

Approved by:

______________________________
<Name of Subject Teacher >
Subject Teacher,<Name of Subject >

________________________________ ________________________________
<Name of Program Head/Coordinator> <Name of Department Chair>
Program Head, <Name of Program> Chair, <Name of Department>

Note: Copies of this form shall be kept by thesis students, new panel member and subject teacher.
 DE LA SALLE UNIVERSITY – DASMARINAS
Dasmarinas, Cavite
College of Engineering, Architecture and Technology

SCHEDULE FORM FOR THE

UNDERGRADUATE THESIS DEFENSE
proposal defense final defense

I. General Information
a. Name of Thesis Student(s):
1. Godinez, Benedict J. 2. Pangilinan, Paulo D. 3. Tan, James Fidel A.

b. Name of Thesis Adviser and co Adviser:

1. Engr. Maryjoie A. Lituañas

c. Title of Thesis:

Rainwater Harvesting in Dasmariñas National High School for Flushing and Fire Protection

d. Date of Defense: November 18, 2017

e. Time of Defense: _______________________
f. Place of Defense: MTH115

II. Approval to Schedule of Oral Defense :

Name Signature
Thesis Student 1 Godinez, Benedict J. __________________

Thesis Student 2 Pangilinan, Paulo D. __________________

Thesis Student 3 Tan, James Fidel A. __________________

Subject Teacher Engr. Mary Ann F. Manlapao __________________

Thesis Adviser Engr. Maryjoie A. Lituañas __________________

Panel Member1 Engr. Arnaldo C. Reyes __________________

Panel Member2 Engr. Mark Bryan R. Fabon __________________

Chair, Thesis Panel Member Engr. Michael Anthony A. Gomez __________________

 DE LA SALLE UNIVERSITY – DASMARINAS
Dasmarinas, Cavite
College of Engineering, Architecture and Technology
Engineering Department

ADVISER’S ENDORSEMENT FORM

November 11, 2017

Date

Engr. Maryjoie A. Lituañas

Engineering Department
Subject Teacher

I have evaluated the thesis study entitled “Rainwater Harvesting in Dasmariñas National High
School for Flushing and Fire Protection“ by the following students Benedict J. Godinez, Paulo D.
Pangilinan, James Fidel A. Tan.

As their adviser, I fully endorse their thesis manuscript and allow them to
present in an oral presentation (proposal, final) this 1 st semester of SY 2017 to 2018

Engr. Maryjoie A. Lituañas

Adviser
 DE LA SALLE UNIVERSITY – DASMARINAS
Dasmarinas, Cavite
College of Engineering, Architecture and Technology
4Engineering Department

LETTER OF ENDORSEMENT

This is to endorse the thesis study “ ________________________________________________________________”

submitted by _________________________, _______________________________ and _______________________________ for

English Grammar Editing.

The students successfully PASSED the oral defense last ______________________ and completed

the technical requirements as suggested by their respective Thesis Panel Adviser(s) and Panel

Members. Attached is the signed Thesis Approval Sheet.

Endorsed by :

_____________________________________________________
Thesis Subject Teacher
 DE LA SALLE UNIVERSITY – DASMARINAS
Dasmarinas, Cavite
College of Engineering, Architecture and Technology

ROUTING SLIP

a. Name of Thesis Student(s):

1._______________________ 2._______________________ 3._______________________

b. Name of Thesis Adviser and co Adviser:

1._______________________ 2._______________________

c. Title of Thesis

_____________________________________________________________________________________
_____________________________________________________________________________________

No. Date Received Action Taken Remarks Date Signature

In by Out

Note: Routing slip must be signed every time the manuscript comes in and out of the responsibility of
thesis student, subject teacher, thesis adviser and panel members
 DE LA SALLE UNIVERSITY – DASMARINAS
Dasmarinas, Cavite
College of Engineering, Architecture and Technology
Engineering Department

ORAL DEFENSE FORM

(Proposal Defense)

November , 2017
(date)

I. General Information
a. Name of Thesis Student(s):
1. Godinez, Benedict J. 2. Pangilinan, Paulo D. 3. Tan, James Fidel A.

b. Name of Thesis Adviser:

1. Engr. Maryjoie A. Lituañas

c. Title of Thesis:

Rainwater Harvesting in Dasmariñas National High School for Flushing and Fire Protection

d. Name of the Thesis Panelist: Engr. Michael Anthony A. Gomez

II. Summary of Reviews: (Please attach additional sheet if necessary)

1.____________________________________________________________________________
____________________________________________________________________________
2.____________________________________________________________________________
____________________________________________________________________________
3.____________________________________________________________________________
____________________________________________________________________________
4.____________________________________________________________________________
____________________________________________________________________________
5.____________________________________________________________________________
____________________________________________________________________________
6.____________________________________________________________________________
____________________________________________________________________________
7.____________________________________________________________________________
____________________________________________________________________________
8.____________________________________________________________________________
____________________________________________________________________________
9.____________________________________________________________________________
____________________________________________________________________________
 DE LA SALLE UNIVERSITY – DASMARINAS
Dasmarinas, Cavite
College of Engineering, Architecture and Technology
Engineering Department

ORAL DEFENSE FORM

(Proposal Defense)

November , 2017
(date)

I. General Information
a. Name of Thesis Student(s):
1. Godinez, Benedict J. 2. Pangilinan, Paulo D. 3. Tan, James Fidel A.

b. Name of Thesis Adviser:

1. Engr. Maryjoie A. Lituañas

c. Title of Thesis:

Rainwater Harvesting in Dasmariñas National High School for Flushing and Fire Protection

d. Name of the Thesis Panelist: Engr. Arnaldo C. Reyes

II. Summary of Reviews: (Please attach additional sheet if necessary)

1.____________________________________________________________________________
____________________________________________________________________________
2.____________________________________________________________________________
____________________________________________________________________________
3.____________________________________________________________________________
____________________________________________________________________________
4.____________________________________________________________________________
____________________________________________________________________________
5.____________________________________________________________________________
____________________________________________________________________________
6.____________________________________________________________________________
____________________________________________________________________________
7.____________________________________________________________________________
____________________________________________________________________________
8.____________________________________________________________________________
____________________________________________________________________________
9.____________________________________________________________________________
____________________________________________________________________________
 DE LA SALLE UNIVERSITY – DASMARINAS
Dasmarinas, Cavite
College of Engineering, Architecture and Technology
Engineering Department

ORAL DEFENSE FORM

(Proposal Defense)

November , 2017
(date)

I. General Information
a. Name of Thesis Student(s):
1. Godinez, Benedict J. 2. Pangilinan, Paulo D. 3. Tan, James Fidel A.

b. Name of Thesis Adviser:

1. Engr. Maryjoie A. Lituañas

c. Title of Thesis:

Rainwater Harvesting in Dasmariñas National High School for Flushing and Fire Protection

d. Name of the Thesis Panelist: Engr. Mark Bryan R. Fabon

II. Summary of Reviews: (Please attach additional sheet if necessary)

1.____________________________________________________________________________
____________________________________________________________________________
2.____________________________________________________________________________
____________________________________________________________________________
3.____________________________________________________________________________
____________________________________________________________________________
4.____________________________________________________________________________
____________________________________________________________________________
5.____________________________________________________________________________
____________________________________________________________________________
6.____________________________________________________________________________
____________________________________________________________________________
7.____________________________________________________________________________
____________________________________________________________________________
8.____________________________________________________________________________
____________________________________________________________________________
9.____________________________________________________________________________
____________________________________________________________________________
 Name of Thesis Students : _____________________ , _____________________ , _____________________

III. Evaluation:

Equivalent
Criteria for Evaluation Grade
Points
 I. Content of Manuscript (70%)
a. The thesis study has a high quality of research methodology. It refers to
the appropriateness of the procedure and methods used. It also includes 20
the suitability of tools and equipment.

b. The thesis study has a significant beneficial impact to community.

20

c. The thesis study is novel and original. It is new and has been not
recently published in scientific journals, books, magazines, periodicals,
20
pamphlets, newspapers, academic publications and like.

d. The thesis study has presented sufficient literature reviews to support his
10
hypothesis.
II. Oral Presentation (30%)
10
a. The student displayed thorough mastery of the study.
b. The student well answered all questions raised by the examination 10
committee.
c. The student presented well-prepared visuals to facilitate the discussions of
5
the study.
d. The student was able to communicate effectively the report to the 5
examination committee.
III. Additional Requirements (software, model, prototype, etc.)
This is optional. Please specify the equivalent points if applicable.
TOTAL
SCORE OF PANEL MEMBER * (%)
*Passing score is 60%

IV. Result of Evaluation: (please check one)

PASSED (Average Grade of Panel Members is in the range of 90.00 % – 100.00 % . No revisions required.)
PASSED WITH REVISION(Average Grade of Panel Members is within the range of 60.00 %– 89.00%.
Revisions will be reflected in the final thesis paper)
CONDTIONAL(Average Grade of Panel Members is within the range of 55.00 %– 59.00 %. The revised thesis
paper must be submitted in writing and needs re-approval by the examination committee in an
oral presentation on current semester.)
FAILED (Average Grade of Panel Members is below 55.00 %. Revised thesis paper must be submitted in writing
and needs re-approval by the examination committee in an oral presentation on next semester.)

Noted by: (Please affix your signature over printed name)

____________________ ____________________ _________________

Chair, Panel Members Panel Member Panel Member

____________________ ____________________
Thesis Adviser Subject Teacher

DE LA SALLE UNIVERSITY – DASMARINAS

Dasmarinas, Cavite
 College of Engineering, Architecture and Technology
Engineering Department

ORAL DEFENSE FORM

(Final Defense)

_______________
(date)
I. General Information
a. Name of Thesis Student(s):
1._______________________ 2._______________________ 3._______________________

b. Name of Thesis Adviser and Co-Adviser :

1._______________________ 2._______________________

c. Title of Thesis:
_____________________________________________________________________________

d. Name of the Thesis Panelist:______________________________

II. Summary of Reviews: (Please attach additional sheet if necessary)

1.____________________________________________________________________________
____________________________________________________________________________
2.____________________________________________________________________________
____________________________________________________________________________
3.____________________________________________________________________________
____________________________________________________________________________
4.____________________________________________________________________________
____________________________________________________________________________
5.____________________________________________________________________________
____________________________________________________________________________
6.____________________________________________________________________________
____________________________________________________________________________
7.____________________________________________________________________________
____________________________________________________________________________
8.____________________________________________________________________________
____________________________________________________________________________
9.____________________________________________________________________________
____________________________________________________________________________
Name of Thesis Students : _____________________ , _____________________ , _____________________

III. Evaluation:
 Equivalent
Criteria for Evaluation Grade
Points
I. Content of Manuscript (70%)
A. Sufficient results were presented to derive reasonable 20
conclusions addressing the stated objectives of the study.
B. The student interpreted the results of the study correctly. 20
C. The conclusions address the stated objectives of the
20
study.
D. Recommendations for further studies based on the study
10
were sufficiently and clearly listed.
II. Oral Presentation (30%)
10
A. The student displayed thorough mastery of the study.
B. The student answered well all questions raised by the examination
10
committee.
C. The student presented well-prepared visuals to facilitate the
5
discussions of the study.
D. The student was able to communicate effectively the report to the
5
examination committee.
III. Additional Requirements (software, model, prototype, etc.)
This is optional. Please specify the equivalent points if applicable.
TOTAL
SCORE OF PANEL MEMBER* (%)
*Passing score is 60%

IV. Result of Evaluation: (please check one)

PASSED (Average Grade of Panel Members is in the range of 90.00 % – 100.00 % . No revisions required.)
PASSED WITH REVISION (Average Grade of Panel Members is within the range of 60.00 %– 89.00%.
Revisions will be reflected in the final thesis paper)
CONDTIONAL(Average Grade of Panel Members is within the range of 55.00 %– 59.00 %. The revised thesis
paper must be submitted in writing and needs re-approval by the examination committee in an
oral presentation on current semester.)
FAILED (Average Grade of Panel Members is below 55.00 %. Revised thesis paper must be submitted in writing
and needs re-approval by the examination committee in an oral presentation on next semester.)

Noted by: (Please affix your signature over printed name)

____________________ ____________________ _________________

Chair, Panel Members Panel Member Panel Member

____________________ ____________________
Thesis Adviser Subject Teacher

THESIS FEE ENDORSEMENT FORM

 

Accomplish 2 copies of this form and present to the casher during the payment of Thesis Fee.