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Rizal, Philippines

OFFICIAL REGISTRATION AND ASSESSMENT FORM

Campus : Rizal Academic Term : Second TrimesterAcademic Year : 2023-2024


Student Number : CA202000681 LRN : 109442070042 Year/Status : 4th-REGULAR
Full Name : DENZEL ESTOCADA DAMASO Sex : Female
Course : BSC Major : Contact # : 09458638801
Home Address : FRANCISCO ST. SITIO LABAS, SAN GUILLERMO, MORONG, RIZAL

Subject/s Section Lab Units Lec Units Days Time and Date Room
OLBPHUMDSA LFCA222E058 0 3 TTHS 07:00 pm - 08:00 pm
(jvlbbhc)
OLCRIM PRAC2 LFCA422N055 0 3 S 07:00 am - 08:00 am GYMB
(t33dnfs)
OLCRIM INTEG2 LFCA422N055 0 2 SUN 08:00 am - 11:00 am RTOP1B
(5xpoyba)
OLCRIM INTEG3 LFCA422N055 0 2 SUN 12:00 pm - 01:00 pm RTOP1A
(b77y5kh)
OLCRIM INTEG1 LFCA422N055 0 2 SUN 04:00 pm - 07:00 pm RTOP1A
(sntsmbp)

Tuition Fee Laboratory Fee Miscellaneous Fee Special Subject Total Amount

1,560.00 0.00 2,270.00 0.00 3,830.00

Other Fees 100.00


LMS Fee 300.00
Student Portal Fee 300.00
Drug Test 200.00
Mailing Fee 60.00
Health Diagnostics 350.00
Test Booklet 30.00

Fullpayment Fullpayment X Installment X Regular Fees TOTAL Php 5,170.00


w/ discount
10% Cash Discount if FULL PAYMENT Php 4,787.00 made on or before Jan 10, 2024
EXAMINATION PERMIT Installment Payment Schedule
CONTROL NUMBER Amount Due Dates Late Payments Penalties
Full Paid (Cash Basis) Downpayment 1,380.00 Jan 11, 2024 5% Jan 12 onwards
000000 1st Installment 955.10 Feb 01, 2024 5% Feb 02 onwards
2nd Installment 955.10 Feb 16, 2024 5% Feb 17 onwards
Installment Basis 3rd Installment 955.10 Mar 01, 2024 5% Mar 02 onwards
Prelim CAHEP22324- 4th Installment 955.10 Mar 16, 2024 5% Mar 17 onwards
Midterm - 5th Installment 424.50 Apr 01, 2024 5% Apr 02 onwards
Final P00007891- TOTAL 5,624.90

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.: 01349348

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