FOR THE VALUE INDEBTED, I/WE promise to pay, jointly and severally, to the order of
DMMC INSTITUTE OF HEALTH SCIENCES , the sum of PESOS:
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zero Pesos and 00 Cents ***
(P {{number_format($lists->amount,2)}} ) subject to the following conditions:
DUE DATE OF PAYMENT: {{date_format(date_create($lists->due_date),"F d, Y")}}
That {{$user->firstname}} {{$user->middlename}} {{$user->lastname}} {{$user->extensionname}} @if($lists->category == "Enrollment") can be enrolled for {{$lists->remarks}} @else can take the {{$lists->remarks}} examination @endif at the date and time of the particular examination.
That the above mentioned student would not be given any "CLEARANCE" until the while amount had already been settled.
That in case of default on the agreed date and amount of payment, the school may demand that the entire unpaid balance be due immediately.
That I/WE willfully entered into this agreement and the content of this document had been clearly presented and explained to me/us.
That I/WE carefully read and understand all the foregoing conditions and stipulations.
And That I/WE at the time I/WE affixed my/out signature(s) hereto, all the blank spaces have been correctly and completely filled-up.
| NAME | ADDRESS | CONTACT NO. | SIGNATURE | |||
| WITNESSES (name and signature): | |||
| Program Chair and/or Faculty-in-charge | |||
| RECOMMENDING APPROVAL OF: | |||
| Accountant | |||
| APPROVED BY: | |||
| Executive Vice President and/or President | |||