TES Form - Annex 3

REPUBLIC OF THE PHILIPPINES

TACLOBAN CITY, 6500

LETTER OF INTENT TO AVAIL TES-3B

MAXIMO C. ALJIBE, Ph.D., DPM CESO III

Director IV
CHED Regional Office VIII
Tacloban City

I, Joedelmar M. Egonio, a graduate of Bachelor of Secondary Education Major in

Mathematics of Eastern Visayas State University in A.Y. 2021-2022 Graduated. Hereby signify my
intent to be reimbursed of the following expenses for obtaining my first professional credentials or
qualifications through TES-3B:

ITEM EXPENSE AMOUNT REMARKS

PRC Examination Fee(for Php 900.00 See the attached file

payment of application of
examination fee)
Notary public fee(for notarial fee
expenses)
Review Center fee (payment for Php 10,500.00 See the attached file
review center)
Insurance company (payment
for insurance premium fee)
HEI, PSA, BIR, NBI or transcript
of records, birth and (if
applicable) marriage certificates,
documentary stamps, NBI
clearance and certificate of
good moral character
Other fees (as payment for
entities or institutions for
the necessary expenses)

TOTAL Php 11,400.00

Attached to this letter are the supporting documents required by Memorandum Circular No.01
Series of 2022 or the Amended TES Guidelines of 2022.

Signed on the date and at the place indicated below.

__________________

ID:
Issued on:
Issued at:

SUBSCRIBED AND SWORN before me this ____________ at _______________, Philippines,

who exhibited his/her ____________________ issued at ________________ on _____________.

Doc. No. ___

Page No. ___
Book No. ___
Series of ___
 TES Form - Annex 3

REPUBLIC OF THE PHILIPPINES

TACLOBAN CITY, 6500

LETTER OF INTENT TO AVAIL TES-3B

MAXIMO C. ALJIBE, Ph.D., DPM CESO III

Director IV
CHED Regional Office VIII
Tacloban City

I, John Mark S. Gamayon , a graduate of Bachelor of Secondary Education Major in

Mathematics of Eastern Visayas State University in A.Y. 2021-2022 Graduated. Hereby signify my
intent to be reimbursed of the following expenses for obtaining my first professional credentials or
qualifications through TES-3B:

ITEM EXPENSE AMOUNT REMARKS

PRC Examination Fee(for Php 900.00 See the attached file

payment of application of
examination fee)
Notary public fee(for notarial fee
expenses)
Review Center fee (payment for Php 10,500.00 See the attached file
review center)
Insurance company (payment
for insurance premium fee)
HEI, PSA, BIR, NBI or transcript
of records, birth and (if
applicable) marriage certificates,
documentary stamps, NBI
clearance and certificate of
good moral character
Other fees (as payment for
entities or institutions for
the necessary expenses)

TOTAL Php 11,400.00

Attached to this letter are the supporting documents required by Memorandum Circular No.01
Series of 2022 or the Amended TES Guidelines of 2022.

Signed on the date and at the place indicated below.

__________________

ID:
Issued on:
Issued at:

SUBSCRIBED AND SWORN before me this ____________ at _______________, Philippines,

who exhibited his/her ____________________ issued at ________________ on _____________.

Doc. No. ___

Page No. ___
Book No. ___
Series of ___