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Rizal, Philippines

OFFICIAL REGISTRATION AND ASSESSMENT FORM

Campus : Rizal Academic Term : First Trimester Academic Year : 2021-2022


Student Number : 20191204 LRN : 109537120403 Year/Status : 3rd-REGULAR
Full Name : MANETH REAL DELA CRUZ Sex :
Course : BSED_ENGLISH Major : ENGLISH Contact # : 9303683931
Home Address : BLOCK 23 BURMA STREET TAYTAY RIZAL

Subject/s Section Lab Units Lec Units Days Time and Date Room
OLPROFED11 OLTA11N4 0 3 M 11:00 am - 12:00 pm TAVRM4
(h47sai)
OLEL106 OLTA11N4 0 3 M 12:00 pm - 01:00 pm TAVRM4
(iqsifm)
OLEL107 OLTA11N4 0 3 M 01:00 pm - 02:00 pm TAVRM4
(z5i5hk)
OLEL108 OLTA11N4 0 3 T 11:00 am - 12:00 pm TAVRM4
(he32za)
OLEL109 OLTA11N4 0 3 T 12:00 pm - 01:00 pm TAVRM4
(tnr9jn)
OLEL110 OLTA11N4 0 3 T 01:00 pm - 02:00 pm TAVRM4
(mcv4ep)
OLEL111 OLTA11N4 0 3 T 02:00 pm - 03:00 pm TAVRM4
(2pdss6)

Tuition Fee Laboratory Fee Miscellaneous Fee Others Total Amount

2,730.00 0.00 2,040.00 0.00 4,770.00

Installment X Full Payment X Regular Fees TOTAL Php 4,770.00

0% Cash Discount if FULL PAYMENT Php 4,770.00 made on or before Sep 16, 2021
EXAMINATION PERMIT Installment Payment Schedule
CONTROL NUMBER Amount Due Dates Late Payments Penalties
Full Paid (Cash Basis) Downpayment 1,000.00 Sep 16, 2021
TAHEP12122-F00262 1st Installment 844.50 Oct 01, 2021
2nd Installment 844.50 Oct 16, 2021
Installment Basis 3rd Installment 844.50 Nov 02, 2021
Prelim - 4th Installment 844.50 Nov 16, 2022
Midterm - 5th installment 844.50 Dec 02, 2021
Final - TOTAL 5,222.50

REMARKS:
This form must be presented and acknowledged by the Instructor / Professor during your first day of
class attendance; by signing at the back of the Accounting's Copy hereby affirmed your acceptance
of the School Rules and Regulations. Control No.: 00000000

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