TERTIARY EDUCATION SUBSIDY

GRANTEES WAIVER

I, ___________________________________, taking up

CapSU – Main Campus

___________________________________________, at _____________________________

and a TES rantee do hereby agree that due to COVID-19 that prevents me from getting

personally the TWENTY THOUSAND PESOS ONLY (P20,000.00) at Cashier’s Office, I

allow Capiz State University to send the amount through a remittance center and the service

charge will be deducted from the total amount of my grant.

I do hereby affix my signature to indicate an agreement.

_____________________________________
Signature over printed name of TES Grantee

Witness:

_____________________________________________________
Signature over printed name of Parent’s/Guardian of TES Grantee

Date Signed: __________________________________________

Note:
Please attach a picture or scan of School ID (Front and Back)