JPLPC Malvar Campus

CSC MEMBERSHIP FEE REMITTANCE FORM

A.Y. 2023 – 2024
1ST SEMESTER
NOTE: This portion is to be filled out by the Classroom President/Treasurer.
Program - Section
(e.g., BSMA 3101)
LIST OF PAID STUDENTS
NOTE: Php 50.00 per student.
NUMBER SR-CODE FULL NAME
(e.g., 21-6***5) (e.g., Dela Cruz, Juan P.)
1
2
3
4
5
6
7
8
9
10
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21
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40
41
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43
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47
48

G. Leviste St., Poblacion Malvar, Batangas, Philippines +63 43 778 - 2170 loc. 9212

www.batstate-u.edu.ph studentorganization.malvar@g.batstate-u.edu.ph
 JPLPC Malvar Campus

49
CABEIHM STUDENT COUNCIL OFFICERS
NAME POSITION
1
2
3
4
5
6
7
8
9
10
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ACKNOWLEDGEMENT FORM
NOTE: This portion will be filled out by the CSC Finance Team.
DATE OF REMITTANCE
TOTAL NUMBER OF PAID STUDENTS
REMITTED BY
REMITTED TO

Prepared by:

______________________________ ______________________________
Signature Over Printed Name Signature Over Printed Name
Classroom President Classroom Treasurer

Remitted to:

______________________________
Signature Over Printed Name
CSC Finance Team

G. Leviste St., Poblacion Malvar, Batangas, Philippines +63 43 778 - 2170 loc. 9212

www.batstate-u.edu.ph studentorganization.malvar@g.batstate-u.edu.ph