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Rizal, Philippines

OFFICIAL REGISTRATION AND ASSESSMENT FORM

Campus : Rizal Academic Term : First Trimester Academic Year : 2022-2023


Student Number : CA202002460 LRN : 107960070101 Year/Status : 3rd-REGULAR
Full Name : JAMAICA ROSALES MUGOL Sex : Female
Course : BSTM Major : Contact # : 9095557849
Home Address : BLK 21 LOT 06 SIMONA, SAN ISIDRO, TAYTAY, RIZAL

Subject/s Section Lab Units Lec Units Days Time and Date Room
OLELETHP02 OLCA311N057 0 3 TH 11:00 am - 12:00 pm VRM57
(oj2zfw5)
OLTPC001 OLCA311N057 0 3 TH 12:00 pm - 01:00 pm VRM57
(i2qxbo5)
OLTPC002 OLCA311N057 0 3 TH 01:00 pm - 02:00 pm VRM57
(q3ey2lp)
OLTHC014LEC OLCA311N057 0 3 F 11:00 am - 12:00 pm
(pa7u3mh)
OLTHC014LAB OLCA311N057 1 0 F 11:00 am - 12:00 pm VRM57
(pa7u3mh)
OLTHC013 OLCA311N057 0 3 F 12:00 pm - 01:00 pm VRM57
(2zxh7jb)
OLELETHP01 OLCA311N057 0 3 F 01:00 pm - 02:00 pm VRM57
(6urwfxe)

Tuition Fee Laboratory Fee Miscellaneous Fee Special Subject Total Amount

2,470.00 0.00 2,270.00 0.00 4,740.00

Other Fees 100.00


LMS Fee 300.00
Student Portal Fee 300.00
Drug Test 200.00
Mailing Fee 60.00

Fullpayment X Installment Fullpayment X Regular Fees TOTAL Php 5,700.00


w/ discount
10% Cash Discount if FULL PAYMENT Php 5,226.00 made on or before Sep 15, 2022
EXAMINATION PERMIT Installment Payment Schedule
CONTROL NUMBER Amount Due Dates Late Payments Penalties
Full Paid (Cash Basis) Downpayment 1,000.00 Sep 16, 2022 5% Sep 17 onwards
000000 1st Installment 1,184.40 Oct 01, 2022 5% Oct 02 onwards
2nd Installment 1,184.40 Oct 17, 2022 5% Oct 18 onwards
Installment Basis 3rd Installment 1,184.40 Nov 02, 2022 5% Nov 03 onwards
Prelim CAHEP12223-P01120 4th Installment 1,184.40 Nov 16, 2022 5% Nov 17 onwards
Midterm CAHEP12223-M08775 5th Installment 526.40 Dec 01, 2022 5% Dec 02 onwards
Final - TOTAL 6,264.00

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.: 01021339

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