TES FORM – Annex 3
REPUBLIC OF THE PHILIPPINES
LEGAZPI CITY, ALBAY, 4500
LETTER OF INTENT TO AVAIL TES 3-B
The Regional Director
UNIFAST V
I, Mary Rose A. Puche, a graduate of Bachelor of Science in Nursing of Bicol University Tabaco
Campus A.Y. 2021-2022, hereby signify my intent to be reimbursed for the following expenses
for obtaining my first professional credentials or qualification through TES-3B.
ITEM EXPENSE AMOUNT REMARKS
PRC Examination Fee (for payment of
application of examination fee) Php 900.00 See the attached file
Notary Public Fee (for notarial fee
expenses)
Review Center Fee (payment for review
center) RC (22,495 Php) See the attached file
Inhouse (7,995 Php)
Insurance Company (payment for
insurance premium fee)
HEI, PSA, BIR, NBI or transcript of
Records, Birth, and (if applicable)
marriage certificate, documentary
stamps, NBI clearance, and Certificate
of Good Moral Character.
Other Fees (as payment of entities or
institutions for the necessary expenses)
TOTAL 31, 390 Php
Attached to this are the supporting documents required by Memorandum Circular No. 01 Series
of 2022 or the Amended TES guidelines of 2022.
Signed om the date and at the place indicated below.
MARY ROSE A. PUCHE
ID: 2018-TC-100297
Issued on: June 2018
Issued at: BUTC, Tabaco City
SUBSCRIBED AND SWORN before me this ______________at_______________, Philippines,
who exhibited his/her_______________ issued at__________ on __________
Doc. No._____
Page No._____
Book No._____
Series of. _____