UREG-QF-05

PRE - REGISTRATION FORM

Date: February 2024

TO WHOM IT MAY CONCERN:

This is to certify that MS. MOYA, MARY GRACE A. with Student No. 202015524 obtained the following grades
during the FIRST SEMESTER of AY 2023-2024

SCHEDULE CODE SUBJECT CODE GRADE UNIT

202317285 NURS 05 2.00 4.00
202317287 NURS 08 1.75 9.00

Noted: EDERLYN P. DESTURA Approved: JOINITO A. OFRACIO, RN, MAN

Name and Signature of Adviser College Registrar

PRE-ENROLLMENT FORM

Name: MOYA, MARY GRACE A. Student Number: 202015524

Address:419, Brgy. Pasong Langka Silang, Cavite Age: 23
Year Level: 2 Course: BS NURSING Section & Major. BSN 2-3_________
Classification: _____ New:_____ Old: __/__ Transferee: ____ Cross Reg. From ________________
Registration Status: _______ Regular _____Irregular__/__
Scholarship Awarded:
Mode of Payment: __________ Cash: ______ Installment: ____ (Select one)

SCHEDULE CODE SUBJECT CODE UNIT/S TIME DAY

1:00-
6.00 7:00 T
202327241 7:00-
NURS 10 6.00 4:00 ThF
8:00-
202327242 2.00 10:00 W
NURS 14 1.00 TBA M
11:00-
3.00 1:00 T
202327243 1:00-
MICR21 1.00 4:00 W
27

Noted: EDERLYN P. DESTURA Approved: JOINITO A. OFRACIO, RN, MAN

Name and Signature of Adviser College Registrar