TES-1 Form - Annex 9

GENERAL PAYROLL

TES-1 FORM
Tuition and other school fees
TERTIARY EDUCATION SUBSIDY (TES) GRANTEES
Academic Year 2021-2022

Student's Profile First Semester Second Semester

Seq.
No. TES-1 TES-1
TES Student Year
Last Name Given Name M.I. Degree Program Total Amount Date Received Student's Signature Total Amount Date Received Student's Signature
Award No.* ID No. Level
Received Received
119 TES-02-16-10080-2019-09691 C-2019-0293 TORRION MELISSA B Bachelor Of Science In Nursing 2 - 10,000.00

Prepared by: Verified by: Certified true and correct by: Approved by:

JIESON FALLER CHRIZELY DALAGAN SR. MA. LUISA MARCELINO, SPC SR. MARIE ROSANNE MALLILLIN, SPC
Scholarship Coordinator University/College Registrar VP-Finance Head/President of HEI