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DOST Acknowledgement Form

This document is an acknowledgment receipt from the Department of Science and Technology Regional Office No. VI for a scholar. It acknowledges receipt of periodic requirements like official grades, registration forms, statements of account. It also acknowledges receipt of claims for transportation reimbursement for the start and end of the school year, and round trips. The scholar can call or email the Scholarship Section for any inquiries. The receipt is signed by an official noting if documents are complete or lacking.

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Cathy Baranda
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1K views

DOST Acknowledgement Form

This document is an acknowledgment receipt from the Department of Science and Technology Regional Office No. VI for a scholar. It acknowledges receipt of periodic requirements like official grades, registration forms, statements of account. It also acknowledges receipt of claims for transportation reimbursement for the start and end of the school year, and round trips. The scholar can call or email the Scholarship Section for any inquiries. The receipt is signed by an official noting if documents are complete or lacking.

Uploaded by

Cathy Baranda
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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DOST FILE

Republic of the Philippines S and T SCHOLARSHIPS TO-SCH-F13


Department of Science and Technology Rev. 2 Eff: 17 Jan 2019
Regional Office No. VI ACKNOWLEDGMENT RECEIPT RRG/agt

Date:
(LN, FN, MI)

(Course, School)

(Batch, Program)

(Mobile Number)

Dear Sir/Ma'am:
This is to acknowledge the receipt of your:

Periodic Requirements Transportation Reimbursement


Official Grades Start of SY
semester/term SY ______________ amount:
Registration Form End of SY
semester/term SY ______________ amount:
Statement of Account/Official Receipt Round Trip SY
(amount) amount:
semester/term SY ______________
Others:

For inquiries/follow up, you may call the Scholarship Section at (033) 330-1565 loc. 107 or email [email protected]

REMARKS
Received by,
Documents complete and proper
Lacks the following:
(Signature over Printed Name, Position)
PSTC Regional Office Verified by: Date:

SCHOLAR'S COPY
Republic of the Philippines
S and T SCHOLARSHIPS TO-SCH-F13
Department of Science and Technology Rev. 2 Eff: 17 Jan 2019
Regional Office No. VI ACKNOWLEDGMENT RECEIPT RRG/agt

Date:
(LN, FN, MI)

(Course, School)

(Batch, Program)

(Mobile Number)

Dear Sir/Ma'am:
This is to acknowledge the receipt of your:

Periodic Requirements Transportation Reimbursement


Official Grades Start of SY
semester/term SY ______________ amount:
Registration Form End of SY
semester/term SY ______________ amount:
Statement of Account/Official Receipt Round Trip SY
(amount) amount:
semester/term SY ______________
Others:

For inquiries/follow up, you may call the Scholarship Section at (033) 330-1565 loc.107 or email [email protected]
REMARKS
Received by,
Documents complete and proper
Lacks the following:
(Signature over Printed Name, Position)
PSTC Regional Office Verified by: Date:

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