Children of Mary Immaculate College

22 Maysan Road, Malinta, Valenzuela City

8292-3564 * 8292-0161 * 8292-3149
Referral Information: Referral
Referral Name: Jasper San Diego
ONLINE REGISTRATION FORM
1st Semester 2024-2025 Date: 2024-06-21

Complete Name: SAN DIEGO CRISTEL

Last Name First Name Middle Name Suffix

062 A. Marcelo St Dalandanan CITY OF VALENZUELA METRO MANILA NCR - National Capital Region
Complete Address:

Sex: Female Type of Enrollee: New Regular

Age: 18 Birth Date: 2006-01-14

Contact Number: 09668205041 Email Address: cristelsandiego@gmail.com

Enrollment Information

Reference Code: Uh9gPuHDoq1L

Course: Bachelor of Science in Business Administration Major in Marketing Management Year Level: First Year

Last School Attended: Electron College Of Technical Education

Last School Year Attended: 2024

Guardian Name: Lolita Rubia

FRESHMEN TRANSFEREE
Form 138 (Report Card) Transcript of Records from Previous School

Form 137 Honorable Dismissal

Certificate of Good Moral Certificate of Good Moral

Photocopy of PSA Authenticated Birth Certificate - 2pcs Photocopy of PSA Authenticated Birth Certificate - 2pcs

2"x2" ID Picture (White Background) - 4pcs. 2"x2" ID Picture (White Background) - 4pcs.

Photocopy of Senior High School Diploma

FEES NOTE: All Documents submitted to this institute is a school property.

Tuition Fee

Miscellaneous

Total

Down payment

Balance

O.R #