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PRE - ASSESSMENT FORM

STUDENT NUMBER : - TERM/ACADEMIC YEAR Term 2 / 2022-2023


LAST NAME FIRST NAME MIDDLE NAME
-
YEAR & COURSE: 1st-BSIT SCHOLARSHIP : NONE
ADDRESS:
COURSE CODE DESCRIPTION UNITS
GE124 The Contemporary World 3
NSTP2 National Service Training Program 2 3
PE2 Rhytmic Activities 2
ITP122 Multimedia Technology 4
GE224 Science, Technology and Society 3
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- - -
- - -
- - -
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TOTAL : 15
MISCELLANOUS FEES
DLR (BSIT) PHP 3,500.00 Internet PHP 900.00
SIS PHP 2,150.00 Guidance and Counseling PHP 750.00
Registration Fee PHP 500.00 Development PHP 1,000.00
Medical and Dental PHP 700.00 Supplementary Materials PHP 300.00
Insurance PHP 200.00 - -
Student ID / Validation PHP 150.00 - -
Library PHP 800.00 - -
SUBTOTAL FEES Full Payment
Courses PHP 11,880.00 Upon Enrollment
Miscellaneous PHP 10,950.00 PHP 22,830.00
Installment (Fees + Interest)
Upon Enrollment PHP 6,153.00
1st Installment (Prelim) PHP 6,153.00
2nd Installment (Midterm) PHP 6,153.00
3rd Installment (Finals) PHP 6,153.00
TOTAL PHP 24,612.00
COURSE CODE COURSE DESCRIPTION TIME DAY ROOM
GE124 The Contemporary World TBA TBA TBA
NSTP2 National Service Training Program 2 TBA TBA TBA
PE2 Rhytmic Activities TBA TBA TBA
ITP122 Multimedia Technology TBA TBA TBA
GE224 Science, Technology and Society TBA TBA TBA
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MARIBEL T. MEDES / October-2022


ADVISING
Signature Over Printed Name / Date

HEAD ADVISING
Signature Over Printed Name / Date

ENLISMENT
Signature Over Printed Name / Date

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