TES Form - Annex 3
REPUBLIC OF THE PHILIPPINES
(CITY/MUNICIPALITY) S.S.
LETTER OF INTENT TO AVAIL TES-3B
The Regional Director
I, ________________________, a graduate of ______________________ of
____________________________ in A.Y. ______________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 payment of application of
examination fee)
Notary public fee
(for notarial fee expenses)
Review Center fee
(payment for 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
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 ___