(The following is to be filled in by the

University Research Office)

Form No.: TSU-URO-SF-01
Filing Date:
Date of Receipt:

RESEARCH CAPSULE PROPOSAL

1. BASIC INFORMATION
TITLE OF THE PROJECT
Fish Condominium

Name of Lead Researcher/Project Leader: Mia Rose Torres

Department/Office/College: Communication Department- College of Arts and Social Sciences
Contact Number: 0950-667-4603
E-mail Address: miarose.torres@yahoo.com
Name of Co-Researcher: Mysweet Christianne A. Cardinoza

Department/Office/College: Communication Department- College of Arts and Social Sciences

Contact Number: 0936-803-9257
E-mail Address: mccardinoza98@gmail.com
Name of Co-Researcher: Princess Camil N. Viscayno
Department/Office/College: Communication Department- College of Arts and Social Sciences
Contact Number: 0909-489-8853
E-mail Address: princesscamilviscayno@yahoo.com
(Expand as needed for more researchers)
** Please attach Researcher’s Profile Form No. TSU-URO-SF-03 for each researcher.
IMPLEMENTING UNITS
Name of Lead Implementing Unit Tarlac State University
Address (es): Romulo Boulevard, Tarlac City
Name of Collaborating Agency (ies), if any:
Address (es):

Form No.: TSU-URO-SF-01 Revision No.: 01 Effectivity Date: September 12, 2017 Page: 1 of 8
 (The following is to be filled in by the
University Research Office)
Form No.: TSU-URO-SF-01
Filing Date:
Date of Receipt:

2. TECHNICAL DESCRIPTION OF THE PROJECT

DESCRIPTION OF THE PROJECT Evaluator’s Input:

RATIONALE Evaluator’s Input:

This proposed study seeks come up with a documentary that

PROJECT DURATION (No. of months) LOCATION

7 months Tarlac

OBJECTIVES (State general and specific objectives, purpose of the Evaluator’s Input:
Study including problems intended to be solved, hypotheses to be tested, etc.)

Form No.: TSU-URO-SF-01 Revision No.: 01 Effectivity Date: September 12, 2017 Page: 2 of 8
 (The following is to be filled in by the
University Research Office)
Form No.: TSU-URO-SF-01
Filing Date:
Date of Receipt:

REVIEW OF RELATED LITERATURE/STUDIES Evaluator’s Input:

METHODOLOGY Evaluator’s Input:

REFERENCE Evaluator’s Input:

Form No.: TSU-URO-SF-01 Revision No.: 01 Effectivity Date: September 12, 2017 Page: 3 of 8
 (The following is to be filled in by the
University Research Office)
Form No.: TSU-URO-SF-01
Filing Date:
Date of Receipt:

EXPECTED OUTPUT Evaluator’s Input:

GAINS OR IMPACT (A compelling effect of the project upon Evaluator’s Input:

an individual or society as a whole)

INTENDED USERS OF FINDINGS AND OUTPUTS Evaluator’s Input:

Form No.: TSU-URO-SF-01 Revision No.: 01 Effectivity Date: September 12, 2017 Page: 4 of 8
 (The following is to be filled in by the
University Research Office)
Form No.: TSU-URO-SF-01
Filing Date:
Date of Receipt:

PROJECT COST (LINE ITEM BUDGET)

A. Communication cost
Item description/ Specification Unit (pcs, pax, kilo, etc) Quantit Unit cost Total cost
y

TOTAL COST FOR COMMUNICATION

B. TRANSPORTATION COST
Item description/ Specification Unit (pcs, pax, kilo, etc) Quantit Unit cost Total cost
y

TOTAL COST FOR TRANSPORTATION

Form No.: TSU-URO-SF-01 Revision No.: 01 Effectivity Date: September 12, 2017 Page: 5 of 8
 (The following is to be filled in by the
University Research Office)
Form No.: TSU-URO-SF-01
Filing Date:
Date of Receipt:

C. HARDWARE/EQUIPMENT COST
Item description/ Specification Unit (pcs, pax, kilo, etc) Quantit Unit cost Total cost
y

TOTAL COST FOR HARDWARE/EQUIPMENTS

D. PERSONNEL SERVICES
Personnel in-need No. of personnel Total hours to Rate/hour Total cost
render

TOTAL COST FOR PERSONNEL SERVICES

*Personnel in-need: Enumerators, Laborer, Technical person, etc.

TIMELINE OF ACTIVITIES

Activity Major/ Anticipated results Resources required Schedule of activities Remarks

no. Sub-activity (Gantt Chart)
1 2 3 4 5 6 n…
1

Form No.: TSU-URO-SF-01 Revision No.: 01 Effectivity Date: September 12, 2017 Page: 6 of 8
 (The following is to be filled in by the
University Research Office)
Form No.: TSU-URO-SF-01
Filing Date:
Date of Receipt:

3. CERTIFICATION
I hereby certify that the information given is true, correct and the research being conducted is authentic. I further signify my commitment to revise the paper as per evaluation results
and complete the research within the specified timeframe.

___________________________________ ______________
Signature over Printed Name of the Lead Researcher Date

___________________________________ ______________
Signature over Printed Name of the Co-Researcher Date

___________________________________ ______________
Signature over Printed Name of the Co-Researcher Date

ENDORSEMENT FROM COLLEGE TO UREC

4.
Please check box indicating your response : Approved Disapproved
If disapproved, state the reason/s hereof____________________________________.

______________________ _______________________ _______________________ _________________________

____________________ _______________
College Dean/Head of Office
Department Research Chairpersons
________
________ Date
Date

Received Proposal By:

Form No.: TSU-URO-SF-01 Revision No.: 01 Effectivity Date: September 12, 2017 Page: 7 of 8
 (The following is to be filled in by the
University Research Office)
Form No.: TSU-URO-SF-01
Filing Date:
Date of Receipt:

_____________________________ _______________ __________

Signature over Printed Name of URO Representative Position/Designation Date Received

Form No.: TSU-URO-SF-01 Revision No.: 01 Effectivity Date: September 12, 2017 Page: 8 of 8