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TES-2 Form - Annex 9

GENERAL PAYROLL

TES-2 FORM
Textbook / other learning materials any further academic and extracurricular expenses, stipends (including food, lodging, clothing, transportation, health / rnedical needs, and school supplies) and other related costs needed to complete the beneficiary's education
TERTIARY EDUCATION SUBSIDY (TES) GRANTEES
Academic Year 2021-2022

Student's Profile First Semester Second Semester


Seq.
M TES-2 TES-2
No. TES Student Year
Last Name Given Name .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 - 20,000.00

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
*Note: To be generated by the UniFAST TES Portal System

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