TES Form - Annex 3

REPUBLIC OF THE PHILIPPINES

(MAASIN CITY) S.S.

LETTER OF INTENT TO AVAIL TES-3B

The Regional Director

I, WILMAR I. COSTILLAS, a graduate of BS-CRIMINOLOGY of ST. JOSEPH COLLEGE -

MAASIN in 2018 – 2022 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 P 900.00 PRC Exam Application
(for payment of application of OR No. E2023-01-03678473
examination fee)
Notary public fee
(for notarial fee expenses)
Review Center fee P 5,000.00 Review Fee
(payment for review center) OR No. 010397
Insurance company (payment for
insurance premium fee)
HEI, PSA, BIR, NBI or transcript of P 625.00 Original Receipts
records, birth and (if applicable)
marriage certificates, documentary
stamps, NBI clearance and certificate of
good moral character
Other fees (as payment for entities or P 3,600.00 Boarding House Rental
institutions for the necessary expenses) Certificate of payment
TOTAL P 10, 125

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.

WILMAR I. COSTILLAS
ID: 80015215
Issued on:
Issued at: Maasin City, Southern Leyte

SUBSCRIBED AND SWORN before me this ____________ at _______________, Philippines,

who exhibited his/her ____________________ issued at ________________ on _____________.

Doc. No. ___

Page No. ___
Book No. ___
Series of ___