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NDCP FORM 4

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NDCP Registrar Form No. 4

CONTRACT TO REFUND

I am ____________________________________, presently employed at the _________________________________________ under the Office/Department of _______________________________________, holding the position/designation of ________________________________________________ and presently residing at ___________________________________________________________.

That, I am interested to pursue the Master in National Security Administration (MNSA) program with Regular Course no. ____, Academic Year _________, and I was properly nominated and supported by the Head of my Agency/Institution;

That, I am aware that the MNSA program is a tuition-free, one-year full-time scholarship of the NDCP, and that the expenses to be incurred for this scholarship are funded by the Philippine government and released thru the Department of Budget and Management;

That, I clearly understand that, should I become a candidate and/or be admitted to take the said course, and decide to defer or stop at any given period, after taking the first stage of the MNSA Admission Test to the actual conduct of the course, without any valid reason acceptable to the NDCP, I am willing to refund to the NDCP the total amount of expenses incurred during the said duration;

That, I am voluntarily executing this Contract as a part of the documents of the NDCP scholarship application process.

_______________________

Applicant-Nominee CONFORME: ________________________________

Head of the Agency/Institution

SUBSCRIBE AND SWORN to before me this __ day of ___________________ at ________________________. Affiant exhibited to me his/her Residence Certificate Number ____________ issued on ___________________ at ______________.

___________________________

Notary Public Doc. __________

Page No. __________

Book No. __________

Series of __________

REPUBLIC OF THE PHILIPPINES DEPARTMENT OF NATIONAL DEFENSE

NATIONAL DEFENSE COLLEGE OF THE PHILIPPINES

Academic Row, Camp General Emilio Aguinaldo, Quezon City

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