CHED-TDP HEIs Billing Statement

2017 version

Certified List of CHED-TULONG DUNONG Program (CHED-TDP) Beneficiaries

______ Semester, AY_________

SCHOOL
Address
Region
Date

Seq. Name Sex Baccalaureate Curriculum General Number of CHED-TDP

Program Year/Level Weighted Units financial
Average (GWA) Enrolled benefits per year
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 __________ PHP -
Certified
Prepared: Correct: Approved:
 _________
_____________________ ______ ____________________ _______________________
School Chief Accountant President/School Head or
HEIs StuFAPs Coordinator Registrar Authorized Representative
 Ledger No:
Ada No:
Voucher No:
Date :

Student Contact Received Payment Received Payment

Number (Signature) 1st sem (Signature) 2nd sem