Republic of the Philippines

Western Philippines University A STRONG PARTNER FOR SUSTAINABLE DEVELOPMENT

ACADEMIC AFFAIRS
STATEMENT OF EXPENSE

Date Detailed Expense Amount Total for the

Day
01-05-24 Medical 330
Notary of waiver and parent consent 200 530
01-11-24 Name plate, orientation 500 500
01-14-24 Uniform 1604
Referral form 50 1654
02-02-24 PST Fee 1500
Load for teaching 500
Bond paper 235
Folder and pen 24
Statistician fee 250
English critic fee 38
CBAR bond paper 40
School fee (SSC) 375
CEDSO 150
Math Club 100 3212
02-15-244 Contribution for JS Banquet 100 100
03-14-24 Midterm Demo food 350 350
04-15-25 Final demo food 386
Materials for final demo 250 636

GRAND TOTAL 6982

Prepared by:

______KAREN VILLASENOR PALCORIN_____

(Signature over Printed Name of Student Teacher)

WPU-QSF-ACAD-29A Rev. 00 (10.02.19)