BRAINS TESTING SERVICE
Notification of Payment
Name (Surname, First Name, MI)
Test Applied For
Source Bank Branch/Name of Wallet
Amount paid (in pesos)
Date of deposit/transfer (dd/mm/yyyy)
I have read the Terms of Enrollment for BRAINS Online Tests in the attached
document of undertaking and agree to abide by them.
Proof of Payment
Copy the letters onto the blank provided.
Booked Date of Simulation (dd/mm/yyyy)
Session (AM, PM, Whole Day, Multiple Days)
Time of deposit/transfer
301 Ang Bahay ng Alumni, UP Diliman, Quezon City
Tel. 0927-628-7148, 02-83557408