CHED-TES HEIs Billing Statement

2017 version

Certified List of TES Program Beneficiaries

_ Semester, AY_________

SCHOOL
Address
Region
Date

Seq. Name Sex Baccalaureate Curriculum General Number of Total

Program Year/Level Weighted Units Assessment
Average (GWA) Enrolled Fees
Award No. per NOA Last First Middl for the Previous
e Semester

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
TOTAL BILLING FOR _____ SEMESTER, AY __________
Certified
Prepared: Correct: Approved:
 _________
_____________________ ______ ____________________ _______________________
School Chief Accountant President/School Head or Authorized
TES Focal Person Registrar Representative
 Ledger No:
Ada No:
Voucher No:
Beneficiaries Date :
____

TES financial
benefits amount
Student Contact Received Payment Received Payment
Number (Signature) 1st sem (Signature) 2nd sem

PHP -
 _______________________
President/School Head or Authorized
Representative