Rizal, Philippines

OFFICIAL REGISTRATION AND ASSESSMENT FORM

Campus : Rizal Academic Term : First Trimester Academic Year : 2023-2024

Student Number : BI202300499 LRN : 136720100449 Year/Status : 1st-REGULAR
Full Name : CARL LAWRENCE SAYCON Sex : Male
Course : BSREM-B Major : Contact # : 09159022314
Home Address : 13 ARTHUR ST CHRISTINE VILLAGE DELA PAZ PASIG CITY, DELA PAZ, CITY OF PASIG, NCR, SECOND
DISTRICT

Subject/s Section Lab Units Lec Units Days Time and Date Room
OLFIL-01 OLBN111M006 0 3 MWF 07:00 am - 08:00 am
(p72bgin)
OLPHYE001 OLBN111M006 0 2 MF 08:00 am - 09:00 am
(x2mkxil)
OLSOFAPP OLBN111M006 1 3 TTHS 07:00 am - 08:00 am
(352cl2e)
OLENG01 OLBN111M006 0 3 TTHS 08:00 am - 09:00 am
(4yn2nib)
OLMATH01 OLBN111M006 0 3 TTHS 09:00 am - 10:00 am
(va56zyx)
OLNSTP-1 OLBN111M006 0 3 TH 10:00 am - 11:00 am
(fw56qqx)

Tuition Fee Laboratory Fee Miscellaneous Fee Special Subject Total Amount

2,145.00 600.00 2,270.00 0.00 5,015.00

Other Fees 100.00

LMS Fee 300.00
Student Portal Fee 0.00
Mailing Fee 60.00
Library ID 50.00

Fullpayment X Installment FULLPAYMENT X Regular Fees TOTAL Php 5,525.00

w/ discount
10% Cash Discount if FULL PAYMENT Php 5,023.50 made on or before Sep 12, 2023
EXAMINATION PERMIT Installment Payment Schedule
CONTROL NUMBER Amount Due Dates Late Payments Penalties
Full Paid (Cash Basis) Downpayment 1,000.00 Sep 13, 2023
000000 1st Installment 1,140.30 Oct 02, 2023 5% Oct 03 onwards
2nd Installment 1,140.30 Oct 16, 2023 5% Oct 17 onwards
Installment Basis 3rd Installment 1,140.30 Nov 03, 2023 5% Nov 04 onwards
Prelim - 4th Installment 1,140.30 Nov 16, 2023 5% Nov 17 onwards
Midterm - 5th Installment 506.80 Dec 02, 2023 5% Dec 03 onwards
Final - TOTAL 6,068.00

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.: 00000000