BILLING STATEMENT

FIRST SEMESTER A.Y. 2021-2022

TO : Makati Science Technological Institute of the Philippines (MSTIP) / Lyceum de San Pablo
ATTN: Ms. Flodena Leybag

Payable to :
NAME OF FACULTY
Bank Name :
Bank / Account No:
Other option of Payment: (GCASH/PALAWAN)
Contact Number:
Cut off date Month 11 - 25 or 26 - 10

Date Subject Title / Class Code Class Schedule

Certified true and Correct :

NAME AND ELECTRONIC SIGNATURE OF FACULTY

TY

No. of Hours No. of students