NIR QA Form 1

REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF EDUCATION
NEGROS ISLAND REGION

PROCESSING SHEET
APPLICATION FOR INCREASE OF TUITION AND OTHER SCHOOL FEES

Name of School : ______________________________

Address of School : ______________________________
Course/s Offered : ______________________________
School Year : ______________________________
Date Received : ______________________________

Particulars Quality Description Remarks

 Submitted 3 sets of documents (original and
1. Document Presentation photocopies of the original documents)
 Page finder tabs corresponding to the
numbers of documents in the checklist were
affixed accordingly to each document
 Compilation of documents followed the
order/sequence as stated in the attached
checklist
 Long expanding folders and papers (8.5” x
13”) were used according to Division Color
 All documents were listed in a Table of
Contents
2. Processing Sheet  Duly accomplished and signed by the Division
In-charge of private/public schools and
countersigned by the ASDS and SGOD Chief
 No information was left out by the process
3. Endorsement  Duly signed by the SDS or his/her appointed
OIC
 Dated within one week prior to submission to
RO
 Consistent with the intended subject/grade
level as stated in the Letter of Request or
PTA/Board Resolution
4. Letter –Request of the  Signed by the School Head or the
School requesting party
5. Board Resolution  Notarized
 Indicated the PTA approved amount of
increase

6. Minutes of General PTA  Contained the following:

Meeting/Copy of the PTA  agenda
Resolution  agreement

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NIR QA Form 1

 attendance of parents by grade level

 Duly signed by the PTA secretary and
president and noted by the School Head
7. Photocopy of the  Certified true copy and signed by the Regional
Confirmation of Tuition Director
Fees and Other School Fees
of the Previous Year
8. Certification under oath
signed by the School Head  A prior consultation on the proposed increase
that the requirements of was conducted with the duly organized
R.A. 6728 have been parents and teachers associations
complied  70% of the proceeds of the proposed increase
shall be allocated for payment of salaries or
increase in salaries, wages, allowances and
other benefits of teaching and non-teaching
personnel except administrators who are
principal stock holders of the school, that 20%
shall go to the improvement or modernization
of school facilities
 Certification on Full and Half Tuition Fees
waivers ( if students/pupils are given
discounts
9. Comparative Schedule of  Followed the attached format
Tuition Fees and Itemized  Duly signed by the School Head
Other School Fees for the
Previous SY and the
current SY

10. Enrolment  Observed gender segregation by course/grade

level
 Contained the last 3 year enrolment
 Duly signed by the School Head
11. Photocopy of the School  Certified True Copy
Permit/Government
Recognition

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NIR QA Form 1

12. Financial Statements of the  Audited by licensed auditor

previous Calendar/Fiscal  Contained the following:
Year  Income statement
 Balance sheet
 Income tax return (previous year)
 Acknowledged Proof of Remittances for
teachers in the following:
 BIR
 SSS
 PhilHealth
 PAGIBIG

13. Photocopy of Payroll/Pay  Indicated the increase received by teachers

slip of Teachers and other school personnel
 Duly signed by the recipients

Evaluated by: Counterchecked by:

DENNIS CHARL F. ANDALAJAO RACHEL B. PICARDAL, Ed. D.

Division In-charge Chief, SGOD

Noted:
LELANIE T. CABRERA, CESE
ASDS

Reviewed and validated by: Checked and verified:

CYNTHIA M. VISPERAS SOFIA A. TUNDAG

Regional QAD Asst. Lead Coordinator Regional QAD Lead Coordinator

Remarks:
 Approved: ____________
 Returned /With deficiencies: ______

REPUBLIC OF THE PHILIPPINES

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NIR QA Form 1

DEPARTMENT OF EDUCATION
NEGROS ISLAND REGION

PROCESSING SHEET
APPLICATION FOR CONFIRMATION OF NON- INCREASE OF TUITION AND OTHER SCHOOL FEES

Name of School : ______________________________

Address of School : ______________________________
Course/s Offered : ______________________________
School Year : ______________________________
Date Received : ______________________________

Particulars Quality Description Remarks

 Submitted 2 sets of documents (original and
1. Document Presentation photocopies of the original documents)
 Page finder tabs corresponding to the
numbers of documents in the checklist were
affixed accordingly to each document
 Compilation of documents followed the
order/sequence as stated in the attached
checklist
 Colored folders were used according to the
assigned division color
 Long expanding folders and papers (8.5” x
13”) were used
 All documents were listed in a Table of
Contents
2. Processing Sheet  Duly accomplished and signed by the Division
In-charge of private/public schools and
countersigned by the ASDS and SGOD Chief
 No information was left out by the process
3. Letter Request  Duly signed by the School Head/President
4. Resolution  Board Resolution and Minutes of Board
Meeting on the Non-increase of Tuition
and Other School Fees
5. Schedule of Tuition and  Comparative Schedule of Tuition Fees
Other Fees and Itemized Other School Fees for the
previous School Year and the current
School Year;

 Photocopy of the Letter of

Confirmation of Tuition Fees and Other
School Fees of the previous school year
6. Enrolment Report  Enrolment report by grade/year

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NIR QA Form 1

level/gender for the last 3 School Years

7. Permit and Recognition  Certified true copy of the School
Permit/Government Recognition

Evaluated by: Counterchecked by:

DENNIS CHARL F. ANDALAJAO RACHEL B. PICARDAL, Ed. D.

Division In-charge Chief, SGOD

Noted:
LELANIE T. CABRERA, CESE
ASDS

Reviewed and validated by: Checked and verified:

CYNTHIA M. VISPERAS SOFIA A. TUNDAG

Regional QAD Asst. Lead Coordinator Regional QAD Lead Coordinator

Remarks:
 Approved: ____________
 Returned /With deficiencies: ______

REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF EDUCATION
NEGROS ISLAND REGION

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NIR QA Form 1

PROPOSED TUITION FEE AND OTHER SCHOOL FEES TEMPLATE

SY __________

Name of School : _____________________________________________

Address of School : _____________________________________________

Level Tuition Fees Other Fees Total Fees

Nursery/Preparatory
Kinder 1
Kinder 2
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12

Prepared by: Reviewed by:

_______________________________ ___________________________
Principal Staff, QAD

Notes:
1. Present the annual tuition and other school fees
2. Show breakdown of Other School Fees (Miscellaneous Fees, Computer Fee and all fees
other than tuition fees) on another sheet.
3. This template is used when applying for Government Temporary Permit to operate a
New Private School or Course

REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF EDUCATION
NEGROS ISLAND REGION

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NIR QA Form 1

PROPOSED INCREASE IN TUITION FEE AND OTHER SCHOOL FEES TEMPLATE

SY __________

Name of School : _____________________________________________

Address of School : _____________________________________________

TUITION FEES % of Increase OTHER FEES % of Increase TOTAL

LEVEL Previous SY Current SY {(Col2- Previous Current SY {(col5- Previous Current
col1)÷co1)x100) SY col4)÷col4)x10 SY SY
} 0
Col 1 Col 2 Col 3 Col 4 Col 5 Col 6 Col 1+Col Col2 + Col
4 5
Nursery
Kinder 1
Kinder 2
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12

Prepared by: Reviewed by:

_______________________________ ___________________________
Principal Staff, QAD

Notes:
1. Present the annual tuition and other school fees
2. Show breakdown of Other School Fees (Miscellaneous Fees, Computer Fee and all fees
other than tuition fees) on another sheet.
3. This template is used when applying for Renewal Permit or Government Recognition
to operate Private School or Course

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