CARAGA INSTITUTE OF TECHNOLOGY

National Highway, Songkoy, Kitcharao Agusan del Norte, 8609 Philippines

PROMISORY NOTE

DATE:____________

I _________________________________________, A bonafide student of Caraga Institute of

Technology with a balance amount of __________, and I will pay amount of __________ today and I
promise to pay the remaining balance amount of ____________ on _____________________.

I do hereby declare and so hold that I have signed this WAIVER willingly and voluntarily and with full
knowledge of my rights under the law.

___________________________________
Student Signature over Printed Name

NAPOLEON CLARK CHANJUECO SADIASA

Vice-President for Operation

CARAGA INSTITUTE OF TECHNOLOGY

National Highway, Songkoy, Kitcharao Agusan del Norte, 8609 Philippines
PROMISORY NOTE

DATE:____________

I _________________________________________, A bonafide student of Caraga Institute of

Technology with a balance amount of __________, and I will pay amount of __________ today and I
promise to pay the remaining balance amount of ____________ on _____________________.

I do hereby declare and so hold that I have signed this WAIVER willingly and voluntarily and with full
knowledge of my rights under the law.

___________________________________
Student Signature over Printed Name

NAPOLEON CLARK CHANJUECO SADIASA

Vice-President for Operation