Professional Documents
Culture Documents
2021-8-21-SIF-Bacolod - STI West Negros University
2021-8-21-SIF-Bacolod - STI West Negros University
This portion is to be filled out by the school personnel. APPLICATION NUMBER ID NUMBER
1 For Inquiries, provide the necessary information for this section only. Write in CAPITAL LETTERS. Put N/A if not applicable
CHOSEN PROGRAM / TRACK & STRAND / SPECIALIZATION YEAR / GRADE LRN / ESC No.
Students's Name
FIRST NAME DATE OF BIRTH (MM-DD-YYYY)
FLENZER 11 - 19 - 2002
Current Address
HOUSE / LOT / UNIT NO. STREET BUILDING / SUBDIVISION / VILLAGE / BARANGAY
19 KAHILWAYAN GARGATO
Contact Details
LANDLINE (e.g. 046 123-4567) MOBILE (e.g. 0917 123-4567) EMAIL
09202188896 TFLENZER@GMAIL.COM
HIGH SCHOOL** JUNIOR HIGH SCHOOL SENIOR HIGH SCHOOL ALS A&E / PEPT*** COLLEGE 07 - 16 - 2021
NAME OF SCHOOL PROGRAM / TRACK & STRAND / SPECIALIZATION S.Y.(e.g. 2017-2018) YEAR / GRADE TERM
2 For Enrollment, completely fill out the entire form including this section. WRITE in CAPITAL LETTERS. PUT N/A if not applicable.
Only Parents and the Designated Guardian are allowed to conduct any transaction with the school and its personnel. Please provide a valid email address for the dissemination of grades and official
school communications.
Father's Name
FIRST NAME M.I. MOBILE (e.g. 0917 123-4567) OCCUPATION
ARMAN D. 09630152744
TREYES
Mother's Name
FIRST NAME M.I. MOBILE (e.g. 0917 123-4567) OCCUPATION
ROSAMIE R. 09630152744
TREYES
Designated Guardian
FIRST NAME M.I. MOBILE (e.g. 0917 123-4567) OCCUPATION
ARMIE T. 09079382100
BULACLAC SISTER
*Married students should provide Certificate of Marriage; **Students who graduated from secondary school under the old curriculum; ***Alternative Learning System Accreditation
& Equivalency / Philippine Educational Placement Test
Terms & Conditions
Definitions Refund Policy
Registration Assessment Form (RAF) Students who wish to drop a course or withdraw from a program may
It refers to this form. This shall serve as the contract between the do so in writing and will be subjected to the penalty charges, as stated
student and STI to promote and protect mutual interests and for the below.
parties to fulfill their responsibilities and financial obligations. It contains
the assessed tuition and other fees of a student in a given term/year. Tertiary Students
The sum due to STI to register a student to a class. Before the start of classes Registration fee for the term
School Fees Within 7 calendar days from the start of 10% of the total amount due to
All costs incurred in the usual course of the education by STI, including classes term
the provision for necessary educational materials as outlined in the
Schedule of Fees. Any additional costs incurred by STI in providing Beyond 7 calendar days but not beyond 20% of the total amount due to
the educational needs of the student will be charged as addition to the 14 days from the start of classes term
School Fees.
Tuition & Other School Fees (Tertiary) Beyond 14 calendar days from the start 100% of the total amount due
of classes to term
Registration & School Fees (Senior High School)
The full initial payment required upon enrollment in order for a student) Date of filing for Dropping/Withdrawal Penalty charge
to be considered as officially enrolled.
Before the start of classes Registration fee
Amount Due
The total due required for payment. Within 7 calendar days from the start of Registration fee +10% of the
classes annual school fees
Designated Guardian
Person who has the legal authority and duty to care for the interests of another. Beyond 7 calendar days but not beyond Registration fee +20% of the
another. 14 days from the start of classes annual school fees
Dropping/Withdrawal Beyond 14 calendar days from the start Registration fee +100% of the
of classes annual school fees
Cancellation of one or all enrolled subjects in a given term.
Payment Schedule
Data Privacy Consent
The due dates for settlement of accounts.
STI recognizes the fundamental right of all individuals to the privacy of
Enrollment his/her personal information in accordance with the Republic Act (RA)
No. 10173 or the Data Privacy Act of 2012. By signing this form, you
STI reserves the right to cancel the student’s enrollment due to: consent to the collection, generation, use, processing, storage and
Failure to pay the required down payment retention of your personal data for the purposes described in the STI
Data Privacy Policy under https://www.sti.edu/dataprivacy. You also
Submission of false documents and/or incorrect information authorize STI to disclose your information to third parties, whether local
Failure to submit requirements before Midterm Exams / 1st or foreign, as required or authorized by or under the law.
Quarter Exams
Payment
a. The registration fee is non-refundable.
b. All payments including the registration fee is done through the school Student Signature
cashier or other authorized payment channels.
c. Any activities outside the core curriculum (including, but not limited
to sports, field trips, and seminars) in which the student may Parent's/Designated Guardian's Signature Over Printed Name
participate shall be deemed supplemental and will be charged
accordingly.