VILLASIS LAW CENTER

REGISTRATION FORM
CONTROL NO : ________________
HOW TO ENROLL
_____Please check if:
PERSONAL ENROLLMENT
Go to the University of San Carlos School of Law and Governance College of Law and look for Ms. Mae (09088804675)
_____Please check if:
ONLINE ENROLLMENT
After downloading the registration form, accomplish it and send it to our e-mail address: villasislawcenter@gmail.com or lawdean@usc.edu.ph together with your 2x2
I.D. picture (with complete name below the picture) and validated deposit slip. Kindly keep the original copy of the validated deposit slip for submission on the first day
of the review.

For CHECK payments, the bank details are as follows:

Bank: Banco de Oro (BDO)
Account Name: CHRISTIAN G. VILLASIS
Account Number: 008860011944

(Please write in BOLD and CAPITAL LETTERS)

COMPLETE NAME:

SURNAME FIRST NAME MIDDLE NAME

GENDER: M F BIRTHDATE:

2X2
(DD/MM/YY)
ADDRESS:

CONTACT NO.: ________________________________ EMAIL ADD:

LAW SCHOOL: _________________________________ YEAR GRADUATED: ______________________ 1st Taker Repeater Refresher

EMPLOYMENT/WORK DESIGNATION: _________________________________________________________ *For issuance of

certification required
OFFICE: _________________________________ under section 16, Rule
138 of the Rules of
PLEASE CHECK: Court.

___Pre-Bar Only ___Pre-Bar Only + Pre-WEEK

OTHERS (*for VLC seminars, lectures, etc.)
PLEASE SPECIFY:
Date of Registration Fee Mode of Payment
Seminars/Lecture/etc. Seminars/Lectures/ etc. (Cash/Check/Bank Deposit)
(Check Details)

To be accomplished
DISCOUNT AVAILED
by VLC STAFF ONLY
TOTAL AMOUNT PAYABLE:
PAYMENT RECEIVED BY (DATE):
Data Privacy Notice:
In compliance with R.A. 10173 (Data Privacy Act of 2012), the information provided above are only collected, processed, stored, and disposed by duly authorized
VLC staff, exclusively for lawful purposes related to VLC’s present and future official activities. Thus, VLC assures with utmost diligence that it will protect the
privacy and confidentiality of the information you provided.

Affixing your signature at the space provided is an express manifestation of consent allowing VLC to collect, process, store, and dispose the data collected, and a
waiver to any and all liability/ies for any security breach thereto.

I have read and understood this form, and I accept and agree to all its terms and conditions.
I further agree that intended enrollment/s as herein stated is/are NON-TRANSFERABLE and NON-REFUNDABLE.

________________________________________
Signature
For particulars: CEBU Office: Call/Text Ms. Mae (032) 253-5495; 09088804675 Email: lawdean@usc.edu.ph
VLC Manila Office: Ms. Marlyn/Mr. Jowell (02) 8241-4830; (02) 8544-8495; 0915-1582755; 0949-3436092
or Visit USC School of Law @ Law Building, Pelaez corner Sanciangko Streets, Cebu City
Email: villasislawcenter@gmail.com FB page: www facebook..com/villasislawcenter Website: www.villasislawcenter.com