SAN BEDA UNIVERSITY

638 Mendiola Street, San Miguel, Metro Manila

CERTIFICATE OF REGISTRATION
COM 1ST SEMESTER 2021-2022

STUDENT GENERAL INFORMATION

Student No: MD-1800179 Reg No: -
Student Name: DERAIN, Carla Elize Reg Date: Thu Aug 12 2021
College: COM Year Level: 4
Program: MED Scholarship: -
Major: -
REGISTERED SUBJECTS

CODE SUBJECT HRS SECTION SCHEDULE ROOM FACULTY SIGNATURE

MEDPEDS40 Pediatrics III 0.00 COM – YL4 ALVARADO, Soraya A., MD

MEDREHAB40 Rehabilitation Medicine I 0.00 COM - YL4 CALMA, Ronald Alfonso R., MD

MEDIM40 Internal Medicine III 0.00 COM - YL4 CONDE, Maria Rafdora D., MD

MEDPSYCH40 Psychiatry IV 0.00 COM - YL4 MARARANG, Marife P., MD

MEDOBGYN40 Obstetrics and Gynecology III 0.00 COM - YL4 APEPE, Emille Teresa B., MD

MEDCOMPRE40 Comprehensive Medicine I 3.00 COM - YL4 KHO, Stanley U., MD

MEDSURG40 Surgery III 0.00 COM - YL4 MERCED, Joel P., MD

MEDOPHTHA40 Ophthalmology II 0.00 COM - YL4 GALVANTE, Pia Regina E., MD

MEDFCM40 Family and Community Medicine IV 0.00 COM - YL4 CORITICO, Jennifer G., MD

MEDANES40 Anesthesia I 0.00 COM - YL4 LAFORTEZA, Ma. Concellene L.,

MD
MEDNEURO40 Neurosciences IV 0.00 COM - YL4 EVANGELISTA, Charisma T., MD

MEDENT40 ENT-Head and Neck Surgery II 0.00 COM - YL4 COLMENAR, Manuel Tomas I.,
MD
MEDORTHO40 Orthopedics II 0.00 COM - YL4 CONJARES, Jesse Noel V., MD

MEDRAD40 Diagnostic Imaging III 0.00 COM - YL4 MESINA, Michael Thomas P., MD

ASSESSED FEES
Tuition Fee
TUITION FEE 218,793.00
Miscellaneous

AFFILIATION AND CLINICAL ROTATION FEES 9,384.00

ATHLETICS 1,819.00
AUDIO VISUAL 758.00
CLINICAL LABORATORY FEE 1,800.00
COMPUTER AIDED INSTRUCTION 1,468.00
ENERGY FEE 826.00
GUIDANCE 1,084.00
I.D. CARD 491.00
UP TO DATE 5,309.00
LABORATORY FEE - MEDICINE 710.00
LIBRARY FEE 6,418.00
MEDICAL & DENTAL 745.00
REGISTRATION 2,318.00
Other Fees

ALUMNI FEE 600.00

APMC ACTIVITY FEE 200.00
BLS TRAINING FEE 1,000.00
BOARD OPERATIONS 1,000.00
CULTURAL FUND 233.00
FAMILY & COMMUNITY MEDICINE ROTATION 1,150.00
GRADUATION FEE 6,550.00
MEDICAL ACTIVITY FUND 2,000.00
PEACE RETREAT 2,600.00
PUBLICATION FUND 527.00
STUDENT ACTIVITY FUND 970.00 Total Assessment
TRANSPORTATION FEE 500.00
 269,253.00
SCHEDULE OF PAYMENT

Full Payment Upon Enrollment 269,253.00

Installment Option
1st Payment Upon Enrollment 107,701.20
2nd Payment 10/18/2021 53,850.60
3rd Payment 12/13/2021 53,850.60
4th Payment 02/07/2022 53,850.60

NOTES:
KEEP THIS CERTIFICATE. YOU WILL BE REQUIRED TO PRESENT THIS IN ALL YOUR
DEALINGS WITH THE UNIVERSITY.

Tuition and other fees or charges, which are not paid in full on prescribed due
dates, shall be subject to a penalty of Php200.00 for each installment period.

CARLA ELIZE G. DERAIN

Student Signature