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:_