Research Office’ copy

JOSE MARIA COLLEGE

Philippine-Japan Frienship Highway, Sasa, Davao City

RESEARCH PAYMENT REQUEST FORM

RESEARCHER/S TITLE PAYMENT DATE/MODE OF

PAYMENT
Kindly check the box to whom you
will pay:

Adviser:
____________________________
Chairman:
____________________________
Panel Member 1:
____________________________
Panel Member 2:
____________________________
Statistician :
____________________________
Data Analyst:
____________________________
Grammarian :
____________________________

Total Payment ________________

Note: Kindly attach
Remarks: your proof of
_____________________________ payment.

Received by: _____________________________________

--------------------------------------------------------------------------------------------------------------------------------------------------------------

Student’s copy

JOSE MARIA COLLEGE

Philippine-Japan Frienship Highway, Sasa, Davao City

RESEARCH PAYMENT REQUEST FORM

RESEARCHER/S TITLE PAYMENT DATE/MODE OF

PAYMENT
Kindly check the box to whom you
will pay:

Adviser:
____________________________
Chairman:
____________________________
Panel Member 1:
____________________________
Panel Member 2:
____________________________
Statistician :
____________________________
Data Analyst:
____________________________
Grammarian :
____________________________

Total Payment ________________

Note: Kindly attach
Remarks: your proof of
_____________________________ payment.

Received by: _____________________________________