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February 15, 2023

DR. DEOMILA A. BASNIG


OIC Chancellor
Caraga State University Cabadbaran City
Cabadbaran City, Agusan del Norte

Dear Ma’am:

Greetings!

The undersigned have petitioned for _____________ subject to be offered this second
semester AY 2022-2023 and hereby agree to willfully pay in full amount the tuition fee incurred
of the said subject offering in case the CHED will not pay for it.

Thank you.

Sincerely,

JUAN DELA CRUZ

JUAN DELA CRUZ

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