REQUEST ASSESSMENT FORM

To process your request, you may pay over the counter at the Finance Office or deposit at BPI
through electronic fund transfer or over the counter at any BPI branch. Please follow the ff
procedure:

Bank Deposit at any BPI Branch or Electronic Fund Transfer

1. Deposit at BPI through online transfer or over the counter at any branch
four hundred fifty pesos (Php 450.00) in favor of Xavier University the
bank details of which are as follows:

Bank: Bank of Philippine Islands

Account Name: Xavier University
Account No: 9330-0016-55

2. Write your name on the deposit slip.

3. Access either of the ff links:

a. https://bit.ly/36PsrJ6,
b. https://forms.gle/yehiUBvfXWi1tKxF7, or
c. https://tinyurl.com/XUNonTuitionPayments

4. fill-in the ff:

a. Name of Payor:
b. School: college
c. Bank:
d. Validated Bank Deposit Slip (Scanned copy of the deposit slip)

e. Amount:

f. Email Address:
g. Purpose of payment (Payment Details):

Academic Records & Certificate (6243-4140) – Php 160.00;

DHL (8200-4140) –Php 290.00;
Tuition – Php 0.00;
Diploma (5101-9044) – Php0.00

Non-compliance of this procedure will delay the processing of your

request.