Rizal, Philippines

OFFICIAL REGISTRATION AND ASSESSMENT FORM

Campus : Rizal Academic Term : Second TrimesterAcademic Year : 2021-2022

Student Number : 20193669 LRN : Year/Status : 2nd-REGULAR
Full Name : JANUS RICARDO CABUAG SANTOS Sex : Male
Course : BSIT Major : Contact # : 9267111626
Home Address : 667 DAO ST. SAN JOSE, RODRIGUEZ, RIZAL, SAN JOSE, RODRIGUEZ (MONTALBAN), RIZAL

Subject/s Section Lab Units Lec Units Days Time and Date Room
OLLITE001 OL22A15 0 3 TH 03:00 pm - 04:00 pm VRM15
(t8nrnp)
OLMS1 OL22A15 0 3 TH 04:00 pm - 05:00 pm VRM15
(fx292p)
OLCC04 OL22A15 1 3 TH 05:00 pm - 06:00 pm VRM15
(bctdj6)
OLPT1 OL22A15 1 3 F 03:00 pm - 04:00 pm VRM15
(a3zxxi)
OLHCI1 OL22A15 1 3 F 04:00 pm - 05:00 pm VRM15
(sjshxb)

Tuition Fee Laboratory Fee Miscellaneous Fee Special Subject Total Amount

2,340.00 0.00 2,040.00 0.00 4,380.00

LMS and Online Modalities 0.00

X Installment Full Payment X Regular Fees TOTAL Php 4,380.00

0% Cash Discount if FULL PAYMENT Php 4,380.00 made on or before Jan 22, 2022
EXAMINATION PERMIT Installment Payment Schedule
CONTROL NUMBER Amount Due Dates Late Payments Penalties
Full Paid (Cash Basis) Downpayment 1,000.00 Jan 22, 2022
000000 1st Installment 757.15 Feb 01, 2022
2nd Installment 757.15 Feb 16, 2022
Installment Basis 3rd Installment 757.15 Mar 01, 2022
Prelim CAHEP22122-P04583 4th Installment 757.15 Mar 16, 2022
Midterm - 5th Installment 757.15 Apr 01, 2022
Final - TOTAL 4,785.75

REMARKS:
This form must be presented and acknowledged by the Instructor / Professor during your first day of
class attendance; by signing at the back of the Accounting's Copy hereby affirmed your acceptance
of the School Rules and Regulations. Control No.: 01023104