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UPA RCAE APENUM AT APPA DAE PLOLPF ATATAE PL OS LUC 1R:www.hu.eduet QD o5sa52250071 HAWASSA UNIVERSITY AWADA BUSINESS AND ECONOMICS COLLEGE Beneficiarys Cost Sharing Information |, Full Name: DIRBWORK ASHINE NEGESE 2. Identity No: Coop/00s4/10 3. Date of Birth:8/19/1996 12:00:00 AM 4 Faculty/College/School CoBE Department: Cooperative Accounting and Auditin (Section 2) 5. Year of entrance:2010 £.¢ 6. School Name(where you complete preparatory Program : BULGA(R) Region:Amhara Woreda:Debirebire Kebel 7. Type of service you demand: IN CASHE 8. Estimated cost to be born by the beneficiary in the academic year bellow. Year Amount in 2009 B.C TB 2010 B.C 5725.35 ETB 2011 B.C 5725.35 ETB 2012 EC 2862.675 ETB 2013 B.C 2862.675 ETB Total: 17176.05 in words: Seventeen Thousand One Hundred Seventy Six Birrs and Five Cents 9. Advance payment __Date:_ 10. Receipt No. for advanced Payment:_

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