Republic of the Philippines

CENTRAL LUZON STATE UNIVERSITY

Science City of Muñoz, Nueva Ecija

OFFICE OF ADMISSIONS

REGISTRATION FORM
2ND SEMESTER SY 2022-2023

STUDENT ID NO: 20-2942 STUD_TYPE: OLD

NAME: EBAOS, ROVIE JEAN FARNACIO STATUS:

COLLEGE: CED COURSE: BCAED YR/SECTION: BCAED_3 AGE: SEX: M

# SUBJECT CODE DAYS TIME ROOM UNITS

ED
1 FILDAL 1110 TBA TBA TBA 3

2 CAED 3203 TBA TBA TBA 3

3 SED 2103 TBA TBA TBA 3

LL
4 CAED 3205 TBA TBA TBA 3

5 ELECT 3200 TBA TBA TBA 3

RO
6 CAED 3201 TBA TBA TBA 3

7 CAED 3209 TBA TBA TBA 3

8 CAED 3207 TBA TBA TBA 3

EN
9 ENC 3201 TBA TBA TBA 3

SCHOLARSHIP:UNIFAST(RA 10931) TOTAL UNITS 27

ASSESSMENT OF FEES
LY

TUITION FEE AMOUNT

1. TUITION FEE (27 * TFR) Php 4347.00
MISCELLANEOUS AND OTHER SCHOOL FEES
AL

1. ADMISSION FEES Php 0.00

2. ATHLETIC FEES 275.00
3. COMPUTER FEE 0.00
CI

4. DEVELOPMENT FEES 67.50

5. ENTRANCE FEE 0.00
6. GUIDANCE FEES 150.00
FI

7. LABORATORY FEES 100.00

8. LIBRARY FEE 200.00
9. MEDICAL AND DENTAL FEES 200.00
OF

10. REGISTRATION FEE 100.00

11. SCHOOL ID 0.00

SUBTOTAL Php 1092.50

TOTAL ASSESSED FEES Php 5439.50

TOTAL AMOUNT TO PAY: Php 0.00

TOTAL AMOUNT FOR BILLING: Php 5439.50

Amount Paid 0.00

OR NO EBAOS, ROVIE JEAN FARNACIO
Date Student's Signature

ACA. OAD. YYY.F.006 (Revision No. 0; August 1, 2016) printed on 20-01-2023 15:26:49