Date Generated : June 27, 2022 14:57 This serves as OFFICIAL RECEIPT if amount is printed through cash register.

mount is printed through cash register. *498765452945*

UP FORM 5. UNIVERSITY OF THE PHILIPPINES CERTIFICATE OF REGISTRATION *498765452945*
498765452945
COLLEGE DEGREE & MAJOR TERM & SY
STUDENT NO. 2019-04765 NAME PAGALAN, MARK JOHN CONCEPCION
CHE BS FT Midyear 2022
CLASS CODE SUBJECT SECTION UNITS SCHEDULE & ROOM LAB FEE CODE Tuition 9,000.00
24312 FS 179 MTWHF-C 6.0 MTWThF 8AM-5PM prac TBA 500.00 Admission

*********************************************nothing follows********************************************* Entrance

Registration 40.00
Library 550.00
Laboratory 500.00
U.P. FORM 5 STUDENT'S COPY

Computer 685.00
Athletic 37.50
Cultural 0.00
Medical and Dental 25.00
Guidance
Handbook
School ID Fee
Development 72.00
EDF
Others 0.00
I have read the University of the Philippines' Privacy Notice for Students. TOTAL FEES 10,909.50
I understand that for the UP System to carry out its mandate under the 1987 Constitution, the UP Charter, and other laws,
Less: Scholarship / Privilege 0.00
that the University must necessarily process my personal and sensitive personal information.
Therefore, I grant my consent to and recognize the authority of the University to process my personal and sensitive personal Less: Tuition Subsidy 9,000.00
information pursuant to the abovementioned Privacy Notice and other applicable laws. Less: Other School Fees Subsidy 1,909.50
Signature of Student Signature of Parent/Guardian (If student is a minor) AMOUNT PAYABLE 0.00
Library Clearance Country of Remaining Terms to Avail Assessed by:
Jun 17, 2022 05:32:46 pm
TOTAL UNITS 6.0 Citizenship
PHILIPPINES of RA10931 Privilege
4 bvnapalan

STFAP Bracket / ST code Payment Details Scholarship / Privilege

Signature and Sgd. TOLENTINO, MARK PAULO,
Printed Name of
Adviser

Signature of
SABATER
Certified by:

Date: First time to enroll in UP?

REGISTERED
Student No O.R. No. Date Amount Paid
Date Generated : June 27, 2022 14:57 This serves as OFFICIAL RECEIPT if amount is printed through cash register.