(PRIVATE SCHOOL) Page 1 of 4

QA FORM 4

Republic of the Philippines

Department of Education
MIMAROPA REGION
Meralco Ave., cor. St. Paul Road
Pasig City

PROCESSING SHEET
FOR INCREASE OF TUITION AND OTHER SCHOOL FEES

Name of School : _____________________________________________________

School ID : _____________________________________________________
Address of School : _____________________________________________________
Division : _____________________________________________________
Course/s Offered : _____________________________________________________
School Year : _____________________________________________________
Date Received : _____________________________________________________
Date Released : _____________________________________________________
Name of Sch. Head : _____________________________________________________
Contact Number : _____________________________________________________

Particulars Quality Description Remarks

DO RO
Document  Submitted 2 sets of documents (original and photocopies
Presentation of the original documents)
 Submitted to RO on or before May 15 of the current
year
 Page finder descriptor tabs corresponding to the
numbers of documents in the QA form were affixed
accordingly to each document
 Compilation of documents followed the order/sequence
of requirements as stated in the attached QA form
 Colored folder per division was utilized
 Calapan-Pink  Occi. Mdo - Red
 Palawan – Yellow  Or. Mdo - Orange
 Marinduque – Green  PPC - Blue
 Romblon – Purple
 Long expanding folders and papers (8.5” x 13”) were
used
 All documents were listed in a Table of Contents
LIST OF DOCUMENTARY REQUIREMENTS AND ITS DESCRIPTION
1. Processing Sheet  Duly accomplished and signed by the division
committee on private schools.
 No information was left out by the processor
QAD/QAForm4/8.24.18
Quality Assurance Division (QAD) Email Address: qad.depedro4b@gmail.com Tel. No. (02) 637 4184
(PRIVATE SCHOOL) Page 2 of 4
QA FORM 4
2. Endorsement  Duly signed by the SDS or his/her appointed OIC
 Dated 7 working days prior to submission to RO
 Consistent with the intended subject/grade level as
stated in the Letter of Request or PTA/Board Resolution

3. Certification form  Notarized

the PTA President  Stated that the consultation was done not later than
March 30 of every school year preceding the School
Year the increase would be implemented
4. PTA Resolution  Notarized
 Indicated the reasons for increase and PTA approved
amount of increase
5. Minutes of  Held before May 15 of the current year, the final
General PTA submission of the application for tuition fee increase to
Meeting RO
 Contained the following:
 Agenda
 Nature of consultation including any formal
objectives and counter proposals
 Agreement
 Signed attendance sheet of parents by grade level
 Duly approved and signed by the PTA secretary and
president and noted by the school head
6. Enrolment  Observed sex segregation by course/grade level
 Contained report on enrolment for the last 3 years
 Duly signed by the School Head
7. Proposed Tuition  Notarized
and Other School  Attachment A of QA FORM 4 was completely filled out
Fees  Contained the following:
 Amount of tuition fee
 Other school fee such as:
 Registration fee
 Library Fee
 Athletic Fee
 Medical/Dental Fee
 Guidance Fee
 Audio Visual Room Fee
 School ID
 Testing Materials
 School Organization Fee (Php
50.00)
 School Publication (Php 75.00)
 Laboratory Fee (Science)
 Laboratory Fee (Computer)
 Laboratory Fee (Voc./TLE)
 Capital Development Fee

QAD/QAForm4/8.24.18
Quality Assurance Division (QAD) Email Address: qad.depedro4b@gmail.com Tel. No. (02) 637 4184
(PRIVATE SCHOOL) Page 3 of 4
QA FORM 4
 Indicated the total other school fees
 Indicated the grand total tuition and
other school fees
 Notarized
 Duly signed by the PTA President and School Head
8. Breakdown of  Contained tuition and other school fees for the last 3
Tuition Fee for the years
last 3 years  Attachment A of QA FORM 4 was completely filled out
 Duly signed by the school head
9. Financial  Audited by licensed auditor
Statements  Contained the following:
 Income statement
 Balance sheet
 Income tax return (previous year)
 Acknowledged Proof of Remittances containing the
names of teachers from the following agencies:
 BIR
 SSS
 Phil Health
 PAGIBIG
10. Copy of  Indicated the increase received by teachers and other
Payroll/Pay slip of school personnel
Teachers  Duly signed by the recipients

Evaluated by:
SMME Secretariat

Counterchecked by:
SGOD Chief

Reviewed and validated:

Regional EPS In-Charge

QAD/QAForm4/8.24.18
Quality Assurance Division (QAD) Email Address: qad.depedro4b@gmail.com Tel. No. (02) 637 4184
(PRIVATE SCHOOL) Page 4 of 4
QA FORM 4
Checked and verified:
QAD Chief

QAD/QAForm4/8.24.18
Quality Assurance Division (QAD) Email Address: qad.depedro4b@gmail.com Tel. No. (02) 637 4184