Registration No: 659146

Republic of the Philippines

DON HONORIO VENTURA STATE UNIVERSITY
DHVSU - Bacolor Campus
1st Semester AY 2022-2023

CERTIFICATE OF REGISTRATION

STUDENT GENERAL INFORMATION

Student No: 2020102909 Course: Bachelor of Science in Information Systems
Name: DALIVA, Dojen C. Year Level: 3rd Year

U N I T
CODE SUBJECT TITLE Lec Lab Credit
SECTION SCHEDULE / ROOM
ISACCT 213 Accounting for Information Systems 3 0 3 BSIS 2A
PE 212 Physical Education 3 2 0 2 BSIS 2A
CC 313(F) Applications Development and Emerging Technologies 2 1 3 BSIS 3A
ISELEC 1 Customer Relationship Management 3 0 3 BSIS 3A
ISPM 313 IS Project Management 3 0 3 BSIS 3A
SOCSCI 313 Science, Technology and Society 3 0 3 BSIS 3A
Total Subject/s: 6 Total Unit(s) 16 1 17

A S S E S S S E D F E E S
Tuition Fees (TF@17) 3,740.00
School ID Fees 5.00
DOLORES D. MALLARI, PH. D.
Registration Fees 100.00
Miscellaneous Fees 70.00 UNIVERSITY REGISTRAR
Medical/Dental Fees 80.00
Library Fees 150.00
SCHEDULE FOR THE REFUND OF FEES (Tuition fees only) IF APPLICABLE
Laboratory Fees 600.00
Insurance Fees 50.00 Regular Classess Summer
Guidance Fees 50.00 Within 1 week from the Within the 2nd day after
- 10% charges - 10% charges
DF-IRSF 1,700.00 opening of classes the opening of classes
Cultural Fees 100.00
Within the 3rd/4th day
Computer Fees 200.00 Within the 2nd week - 20% charges - 20% charges
after the opening of
Athletic Fees 160.00
DF-USC 70.00 5th day after the
Within the 3rd week - 30% charges - No refund
DF-Industrialist 70.00 opening of classes
DF-CCS (Main) Col. Fees 50.00
Total Assessment : 7,195.00 Within the 4th week - No refund
Less: Financial Aid : 0.00
Net Assessed : 7,195.00
Total Payment : 0.00 In consideration of my admission to Don Honorio Ventura State University and
Credit Memo : 0.00 of the privileges of students in this Institution. I hereby abide by and comply with
Total Balance : 7,195.00 all the rules and regulations laid down by competent authorities Don Honorio
Ventura State University in which I am enrolled.
Addt'l Prev. Balance : 10,840.00
Outstanding Balance : 18,035.00

DATA PRIVACY CONSENT

By signing this information sheet/application form, you are hereby giving STUDENT SIGNATURE
your consent to DHVSU to collect/process your personal data.

SIGNATURE OVER PRINTED NAME Official Receipt:

Date of Payment:

Date Printed : September 05, 2022

DHVSU-QSP-REG-001-FO003-R00