HEI NAME

Academic Year:
Type of RA No. 10931 Beneficiaries:
PART I. HIGHER EDUCATION INSTITUTION PROFILE
I.A BASIC INFORMATION
HEI Code/Unique Institutional Identifier (UII): Province:
Type of HEI: Official Email Address:
Private HEI located in city/municipality w/ no SUC/LUC? Alternative Email Address:
HEI Campus: Contact No.:
HEI Address: Alternative Contact No.:
Region:
Name of the Head of HEI: Alternative Email Address:
Full Designation: Contact No.:
Email Address: Alternative Contact No.:

Name of the Finance Officer of HEI: Alternative Email Address:

Full Designation: Contact No.:
Email Address: Alternative Contact No.:

Name of the Registrar of HEI: Alternative Email Address:

Full Designation: Contact No.:
Email Address: Alternative Contact No.:

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I.B PROGRAM ADMINISTRATION
Name of Personnel In-charge of FHE: Full Designation:
Email Address: Alternative Email Address:
Contact No.: Alternative Contact No.:

Name of TES Focal Person: Full Designation:

Email Address: Alternative Email Address:
Contact No.: Alternative Contact No.:

Name of Personnel In-charge of TDP: Full Designation:

Email Address: Alternative Email Address:
Contact No.: Alternative Contact No.:

Total Number of Personel Handling RA No. 10931 Programs

Includes all personnel in charge of the UAQTE programs including the monitoring tool signatories, from the processing of application up to the disbursement of grants
Plantilla:
Contract of Service:
Other Staff:

I.C DEMOGRAPHIC INFORMATION

Academic Calendar:

ENROLLMENT PERIOD
Indicate the start and end dates of enrollment period per term for the covered academic year
1ST TERM 2ND TERM 3RD TERM SUMMER/MIDYEAR

OPENING OF CLASSES
Indicate the date of the first day of classes per term for the covered academic year.
1ST TERM 2ND TERM 3RD TERM SUMMER/MIDYEAR

TOTAL NO. OF ENROLLED UNDERGRADUATE STUDENTS

1ST TERM 2ND TERM 3RD TERM SUMMER/MIDYEAR
MALE1
FEMALE

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TOTAL

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TOTAL NO. OF ENROLLED FOREIGN STUDENTS
1ST TERM 2ND TERM 3RD TERM SUMMER/MIDYEAR
MALE
FEMALE
TOTAL

TOTAL NO. OF ENROLLED SECOND COURSERS

1ST TERM 2ND TERM 3RD TERM SUMMER/MIDYEAR
MALE
FEMALE
TOTAL

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I.D PROGRAM OFFERINGS
No. of Undergraduate (Bachelor's Degree, Certificate Degree) Post-Secondary Programs Offered in the Academic Year: 2022-2023

List all bachelor degree programs offered for the Academic Year with the Government Recognition, Certificate of Program Compliance Nos., and HEI Maximum Residency Rule for each program.
DEGREE PROGRAM GR NO. COPC NO. MRR

I.E OTHER LOCALLY- AND NATIONALLY-FUNDED STUFAPS

List all locally- and nationally-funded StuFAPs availed in the institution, if any. Indicate the corresponding number of beneficiaries per year level.
YEAR LEVEL
MODALITY OF STUFAP NAME OF STUFAP LOCAL/NATIONAL 1ST YEAR 2ND YEAR 3RD YEAR 4TH YEAR 5TH YEAR 6TH YEAR

TOTAL

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 PART II. UNIFIED STUFAP PROFILE
II.A FREE HIGHER EDUCATION
For each degree program, indicate the total number of FHE beneficiaries, number of FHE beneficiaries who graduated, and number of FHE beneficiaries who exceeded the UAQTE and HEI maximum residency rule per semester/term, per year level, and per sex.
FHE BENEFICIARIES
1ST TERM 2ND TERM 3RD TERM SUMMER/MIDYEAR
SEX 1ST 2ND 3RD 4TH 5TH 6TH 1ST 2ND 3RD 4TH 5TH 6TH 1ST 2ND 3RD 4TH 5TH 6TH 1ST 2ND 3RD 4TH 5TH 6TH

MALE
FEMALE
TOTAL ENROLLED FHE BENEFICIARIES
1ST TERM 2ND TERM 3RD TERM SUMMER/MIDYEAR
TOTAL

GRADUATED BENEFICIARIES NO. OF STUDENTS THAT EXCEEDED THE UAQTE'S MRR NO. OF STUDENTS THAT EXCEEDED THE HEI'S MRR
MALE
FEMALE
TOTAL

NO. OF FHE BENEFICIARIES WHO OPTED OUT OF FHE

Voluntary decision of the student to forego the benefits of FHE and instead pay the institution the amount equivalent to the waived subsidy
1ST TERM 2ND TERM 3RD TERM SUMMER/MIDYEAR
MALE
FEMALE
TOTAL

NO. OF FHE BENEFICIARIES WHO VOLUNTARILY CONTRIBUTED FOR FHE

The decision of the student to contribute at his/her free will some financial amount to the HEI, even while availing himself/herself of the FHE
1ST TERM 2ND TERM 3RD TERM SUMMER/MIDYEAR
MALE
FEMALE
TOTAL

No. of Deceased Beneficiaries

1ST TERM 2ND TERM 3RD TERM SUMMER/MIDYEAR

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MALE
FEMALE
TOTAL

No. of FHE Beneficiaries on Leave of Absence (LOA)

Determine the no. of beneficiaries with loa per semester/term attended for each of the reasons listed below. For reasons not mentioned in the list, additional rows may be added
1ST TERM 2ND TERM 3RD TERM SUMMER/MIDYEAR
REASONS FOR LEAVE OF ABSENCE (LOA) MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE

TOTAL

No. of FHE Beneficiaries Who Dropped

Determine the no. of dropouts per semester/term attended for each of the reasons listed below. For reasons not mentioned in the list, additional rows may be added
1ST TERM 2ND TERM 3RD TERM SUMMER/MIDYEAR
REASONS FOR DROPPING MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE

TOTAL

II.B TERTIARY EDUCATION SUBSIDY

MALE FEMALE TOTAL
No. of Students Who Applied for TES

Indicate the number of enrolled TES grantees, grantees who are persons with disability, indigenous people, and those enrolled in programs with Board exams per TES category, per semester/term, and per sex
TOTAL TES GRANTEES
1ST TERM 2ND TERM
TES No. OF GRANTEES PWD IP NONE BOARD WITH BOARD No. OF GRANTEES PWD IP NONE BOARD WITH BOARD
CATEGORY MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE

TOTAL

TOTAL TES GRANTEES

3RD TERM SUMMER/MIDYEAR
TES No. OF GRANTEES PWD IP NONE BOARD WITH BOARD No. OF GRANTEES PWD IP NONE BOARD WITH BOARD
CATEGORY MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE

TOTAL

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Indicate the number of TES grantees who exceeded the maximum residency rule per degree program and per sex.
NO. OF TES GRANTEES WHO EXCEEDED THE MRR
PROGRAM NAME MALE FEMALE

TOTAL

No. of TES Grantees on Leave of Absence (LOA)

Determine the no. of beneficiaries with loa per semester/term attended for each of the reasons listed below. For reasons not mentioned in the list, additional rows may be added
1ST TERM 2ND TERM 3RD TERM SUMMER/MIDYEAR
REASONS FOR LEAVE OF ABSENCE (LOA) MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE

TOTAL

No. of TES Grantees Who Dropped

Determine the no. of dropouts per semester/term attended for each of the reasons listed below. For reasons not mentioned in the list, additional rows may be added
1ST TERM 2ND TERM 3RD TERM SUMMER/MIDYEAR
REASONS FOR DROPPING MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE

TOTAL

II.C TULONG DUNONG PROGRAM

For each degree program, indicate the total number of TDP grantees per semester/term, per year level, and per sex.
TDP GRANTEES
1ST TERM 2ND TERM 3RD TERM SUMMER/MIDYEAR
SEX 1ST 2ND 3RD 4TH 5TH 6TH 1ST 2ND 3RD 4TH 5TH 6TH 1ST 2ND 3RD 4TH 5TH 6TH 1ST 2ND 3RD 4TH 5TH 6TH

MALE
FEMALE
TOTAL TDP GRANTEES
1ST TERM 2ND TERM 3RD TERM SUMMER/MIDYEAR
TOTAL

No. of TDP Grantees on Leave of Absence (LOA)

Determine the no. of beneficiaries with loa per semester/term attended for each of the reasons listed below. For reasons not mentioned in the list, additional rows may be added
1ST TERM 2ND TERM 3RD TERM SUMMER/MIDYEAR
REASONS FOR LEAVE OF ABSENCE (LOA) MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE

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TOTAL

No. of TDP Grantees Who Dropped

Determine the no. of dropouts per semester/term attended for each of the reasons listed below. For reasons not mentioned in the list, additional rows may be added
1ST TERM 2ND TERM 3RD TERM SUMMER/MIDYEAR
REASONS FOR DROPPING MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE

TOTAL

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 PART III. COMPLIANCE TO GUIDELINES AND MOA

III.A COMPLIANCE TO THE FHE, TES AND TDP GUIDELINES, AND THE MOA BETWEEN CHED, UNIFAST, AND HEI
The HEI certifies its compliance/noncompliance with the following information:
Please tick the box in the rightmost column if your HEI is compliant with the provided information.
Conducted orientation to students about FHE, TES, and/or TDP
Provided guidance and financial counseling programs to the qualified enrolled students to enable them to avail of FHE, TES, and/or TDP
Submitted to the UniFAST the Certification of Tuition and Other School Fees (TOSF) signed by the HEI Head (if applicable)
Maintained a bank account intended only for FHE, TES, and/or TDP
Issued official receipt on time for every amount received from CHED concerning FHE, TES, and/or TDP
Reverted to CHED excess fund transfer (if applicable)
Submitted reports on time regarding the implementation of FHE, TES, and/or TDP as required
Submitted to the UniFAST the list of qualified students and FHE beneficiaries on time
Has an existing policy/system on voluntary opt-out mechanism for FHE
Has an existing policy/system on voluntary contribution mechanism for FHE
Has an existing template for voluntary opt-out mechanism for FHE
Has an existing template for voluntary contribution mechanism for FHE
Submitted to the UniFAST a report on those students who voluntarily opted out from FHE (if applicable)
Submitted to the UniFAST a report on those students who voluntarily contributed to the SUC/LUC (if applicable)
Signed the TES Sharing Agreement between the HEI and TES grantees
Disseminated continuously information to qualified TES grantees
Submitted TES liquidation reports within the prescribed period
Returned excess or unutilized Administrative Support Cost (ASC) to the UniFAST
Issued individual Notice of Award (NOA) to qualified TDP-TES applicants
Submitted to the CHED Regional Office (RO) the signed NOA of qualified TDP-TES grantees and other billing requirements
Submitted to the CHEDRO the payroll for the release of TDP-TES benefits
Submitted TDP-TES liquidation reports within the prescribed period

III.B COMPLIANCE TO TES SHARING AGREEMENT

The HEI certifies its compliance/noncompliance with the following information:
Received from the UniFAST the exact amount of TES for the term
Released the amount intended for the TES grantees
Released to the grantees the difference in TES amount if the share of the private HEI is greater than the actual TOSF of the grantees (if applicable)
Obliged the grantees to pay the difference in TES amount if the share of the private HEI is less than the actual TOSF of the grantees (if applicable)
Released the full amount of the TES to the grantees who have fully paid the TOSF for the term

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Released to the grantees their share within two (2) weeks upon the receipt of fund transfer for TES

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 PART IV. UNIFAST STAKEHOLDERS' EXPERIENCE

1. What are your best practices in the implementation of RA No. 10931 programs?

2. What are your challenges/concerns in the implementation of RA No. 10931?

3. What are your recommendations for the improvement of implementation of RA No. 10931?

DATA PRIVACY NOTICE

In submitting this monitoring tool, I agree to the details being collected for the purposes of monitoring and evaluation of the programs under Republic
Act No. 10931. I understand that:
1. All collected data shall be used for intended use only;
2. The information will only be accessed by the UniFAST. All collected data will be held securely and will not be distributed to
unauthorized or third parties; and
3. When collected information is no longer required for the intended purposes, all data will be disposed of by the UniFAST
in accordance with Republic Act No. 10173, otherwise known as the Data Privacy Act of 2012.

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NOTE: Printing of this document was enabled upon review and approval by the UniFAST Regional Coordinator for signing of the HEI President/Authorized Representative and for submission to the CHED Regional office.

Colegio de Muntinlupa Signatories CHED Regional Office Signatories

By signing and submitting this accomplished monitoring tool, we attest to the veracity and completeness of the information provided for the specified AY By signing and submitting this accomplished monitoring tool we hereby certify to the completeness of the information provided for the specified AY

Prepared by: Officially Received by:

Personnel In-charge of FHE TES Focal Person Personnel In-charge of TDP CHED Records Officer
Date: Date: Date: Date:

Reviewed by: Reviewed and Endorsed by:

Registrar Finance UniFAST Regional Coordinator Chief Education Program Specialist

Date: Date: Date: Date:

Submitted by/Conforme: Approved for Consolidation & Submission to UniFAST Secretariat:

HEI President/Authorized Representative CHED Regional Director

DATE: DATE:

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