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Rizal, Philippines

TENTATIVE AND ASSESSMENT FORM

Campus : Rizal Academic Term : First Academic Year : 2022-2023


Applicant No : BI2223A00395 Full Name : DANIEL VAN PEREZ SANTOS Sex : Male
Course : BSIT-B Major : Year Level/Status : 1st-REGULAR
Home Address : 1642 PEREZ ST. CALUMPANG, BINANGONAN, RIZAL, CALUMPANG, Contact Number : 09301428739
BINANGONAN, RIZAL

Subject/s Section Lab Units Lec Units Days Time and Date Room
OLSOFAPP OLBN111M001 1 3 W 07:00 am - 08:00 am Sep 16, 2022 BNVRM1
OLMATH01 OLBN111M001 0 3 W 08:00 am - 09:00 am Sep 16, 2022 BNVRM1
OLFIL-01 OLBN111M001 0 3 W 09:00 am - 10:00 am Sep 16, 2022 BNVRM1
OLNSTP-1 OLBN111M001 0 3 TH 07:00 am - 08:00 am Sep 16, 2022 BNVRM1
OLPHYE001 OLBN111M001 0 2 TH 08:00 am - 09:00 am Sep 16, 2022 BNVRM1
OLENG01 OLBN111M001 0 3 TH 09:00 am - 10:00 am Sep 16, 2022 BNVRM1

Tuition Fee Laboratory Fee Miscellaneous Fee Special Subject Total Amount

2,145.00 0.00 2,270.00 0.00 4,415.00

Other Fees 100.00


LMS Fee 300.00
Student Portal Fee 0.00
Mailing Fee 60.00
Library ID 50.00
TOTAL Php 4,925.00

Cash Payment Installment Payment Schedule


Php 4,483.50 Amount Due Dates Late Payments Penalties
Downpayment 1,000.00 Sep 16, 2022
10% Cash Discount 1st Installment 989.10 Oct 01, 2022 5% Oct 02 onwards
2nd Installment 989.10 Oct 17, 2022 5% Oct 18 onwards
for FULL PAYMENT 3rd Installment 989.10 Nov 02, 2022 5% Nov 03 onwards
4th Installment 989.10 Nov 16, 2022 5% Nov 17 onwards
made on or before 5th Installment 439.60 Dec 01, 2022 5% Dec 02 onwards
TOTAL 5,396.00
Sep 15, 2022

I shall abide by all the rules and regulations now enforced or may be promulgated by the School Management System from time to time, likewise,
I agree to the cancellation of the credits I have earned in subjects and have enrolled under false pretensed.

REMINDER: Date & Time Accomplished


Upon completion and printing of this PRE-ENROLLMENT, payment of either in CASH or DOWN PAYMENT
08:19AM / 19 Jul 2022
MUST BE SETTLED WITHIN 48 HOURS otherwise class schedules will be automatically deleted.

Prepared by: JOY ANNE BULFA

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