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DOST FILE

Republic of the Philippines S and T SCHOLARSHIPS TO-SCH-F13


Department of Science and Technology Rev. 2 Eff: 17 Jan 2019
Regional Office No. VI ACKNOWLEDGMENT RECEIPT RRG/agt

Date:
(LN, FN, MI)

(Course, School)

(Batch, Program)

(Mobile Number)

Dear Sir/Ma'am:
This is to acknowledge the receipt of your:

Periodic Requirements Transportation Reimbursement


Official Grades Start of SY
semester/term SY ______________ amount:
Registration Form End of SY
semester/term SY ______________ amount:
Statement of Account/Official Receipt Round Trip SY
(amount) amount:
semester/term SY ______________
Others:

For inquiries/follow up, you may call the Scholarship Section at (033) 330-1565 loc. 107 or email dost6.scholarship@yahoo.com

REMARKS
Received by,
Documents complete and proper
Lacks the following:
(Signature over Printed Name, Position)
PSTC Regional Office Verified by: Date:

SCHOLAR'S COPY
Republic of the Philippines
S and T SCHOLARSHIPS TO-SCH-F13
Department of Science and Technology Rev. 2 Eff: 17 Jan 2019
Regional Office No. VI ACKNOWLEDGMENT RECEIPT RRG/agt

Date:
(LN, FN, MI)

(Course, School)

(Batch, Program)

(Mobile Number)

Dear Sir/Ma'am:
This is to acknowledge the receipt of your:

Periodic Requirements Transportation Reimbursement


Official Grades Start of SY
semester/term SY ______________ amount:
Registration Form End of SY
semester/term SY ______________ amount:
Statement of Account/Official Receipt Round Trip SY
(amount) amount:
semester/term SY ______________
Others:

For inquiries/follow up, you may call the Scholarship Section at (033) 330-1565 loc.107 or email dost6.scholarship@yahoo.com
REMARKS
Received by,
Documents complete and proper
Lacks the following:
(Signature over Printed Name, Position)
PSTC Regional Office Verified by: Date:

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