Registration No: 1096674

Republic of the Philippines

DON HONORIO VENTURA STATE UNIVERSITY
DHVSU - Bacolor Campus
2nd Semester AY 2023-2024

CERTIFICATE OF REGISTRATION

STUDENT GENERAL INFORMATION

Student No: 2023310946 Course: Bachelor of Science in Industrial Technology
Name: MERCADO, Rosela Joy T Year Level: 1st Year

U N I T
CODE SUBJECT TITLE Lec Lab Credit
SECTION SCHEDULE / ROOM
DRAWING 122 Industrial and Functional Drawing 2 0 2 BSIT 1B - GFD
CHEM 124 General Chemistry 2 3 1 4 BSIT 1B - GFD
MATH 115A Plane and Spherical Trigonometry 5 0 5 BSIT 1B - GFD
KONKOM 103 Kontekstwalisadong Komunikasyon sa Filipino 3 0 3 BSIT 1B - GFD
PATHFit 122 Exercise-based Fitness Activities 0 2 2 BSIT 1B - GFD
NSTP 2 CWTS/ROTC/LTS 2 0 3 3 BSIT 1B - GFD
GFD 128 Pattern Drafting, Designing and Garments Construction for Casual 8 0 8 BSIT 1B - GFD
Wear (Dressmaking)
Total Subject/s: 7 Total Unit(s) 21 6 27

A S S E S S S E D F E E S
NSTP Fees (@NSTP 2 [05-04-NSTPF]) 330.00
Tuition Fees (TF@24) 5,280.00
DOLORES D. MALLARI, PH. D.
School ID Fees 5.00
Registration Fees 100.00 UNIVERSITY REGISTRAR
Miscellaneous Fees 70.00
Medical/Dental Fees 80.00
SCHEDULE FOR THE REFUND OF FEES (Tuition fees only) IF APPLICABLE
Library Fees 150.00
Laboratory Fees 150.00 Regular Classess Summer
Guidance Fees 50.00 Within 1 week from the Within the 2nd day after
- 10% charges - 10% charges
Development Fees-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
Development Fees-USC Fees 70.00 5th day after the
Within the 3rd week - 30% charges - No refund
Development Fees-Industrialist Fees 70.00 opening of classes
Development Fees-CIT (Main) College Fees 50.00
Total Assessment : 8,565.00 Within the 4th week - No refund
Less: Financial Aid : 0.00
Net Assessed : 8,565.00
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 : 8,565.00 all the rules and regulations laid down by competent authorities Don Honorio
Ventura State University in which I am enrolled.
Addt'l Prev. Balance : 8,820.00
Outstanding Balance : 17,385.00

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 : February 16, 2024

DHVSU-QSP-REG-001-FO003-R00