ST. THERESE SCHOOL OF MARILAO, INC.

Virtus, Scientia, Fortitudo | "Learn Today, Lead Tomorrow"

Promissory Note Request

Tuition Payment Deferral Application

Before you submit: This request must be filed at least 4 days before the first day of exams. No promissory note will be accepted on the exam day itself — unsettled cases will be rescheduled instead. Full settlement is due within 2 weeks after the exam date, and a maximum of 3 promissory notes is allowed per school year.

Student Information

Student's Full Name

Please enter the student's full name.

Grade Level

Please select a grade level.

Exam Period Covered

Please select the exam period.

Parent / Guardian Information

Parent/Guardian Full Name

Please enter the parent/guardian's full name.

Relationship to Student

Please select a relationship.

Contact Number

Please enter a valid contact number.

Email Address

Please enter a valid email address.

Payment Details

Amount Requested for Deferral (₱)

Please enter the amount.

Proposed Settlement Date

Must be within 2 weeks after the exam date.

Please select a proposed settlement date.

Reason for Request

Please provide a brief reason.

Valid ID Uploads

Student's ID

⤒

Tap to upload — student's school ID or valid ID

Please upload the student's ID.

Parent/Guardian's ID

⤒

Tap to upload — one valid government or company ID

Please upload the parent/guardian's ID.

Signature

Parent/Guardian E-Signature

Please provide your signature.

I confirm that the information provided above is true and correct, and I understand the terms of the Promissory Note Policy, including the submission timeline, approval process, and consequences of late settlement.

Please confirm the statement above.

✓

Request Submitted

Your promissory note request has been received. The Cashier's Office will review your submission and contact you once it has been reviewed by the Principal, Finance Officer, and Chair of the Board.