Date Generated : February 2, 2022 20:33 This serves as OFFICIAL RECEIPT if amount is printed through cash register.

*099848275507*
UP FORM 5. UNIVERSITY OF THE PHILIPPINES CERTIFICATE OF REGISTRATION *099848275507*
099848275507
COLLEGE DEGREE & MAJOR TERM & SY
STUDENT NO. 2019-04765 NAME PAGALAN, MARK JOHN CONCEPCION
CHE BS FT 2nd Sem 21-22
CLASS CODE SUBJECT SECTION UNITS SCHEDULE & ROOM LAB FEE CODE Tuition 27,000.00
24325 FS 152 FIJK 0.0 F 1-4PM lab TBA Admission
24324 FS 152 HR 3.0 Th 8-10AM lec TBA Entrance
24329 FS 157 FCDE 0.0 F 9AM-12PM lab TBA Registration 40.00
500.00
24328 FS 157 TDE 3.0 Th 10AM-12PM lec TBA Library 1,100.00
24333 FS 159 SIJK 0.0 S 1-4PM lab TBA Laboratory 2,000.00
U.P. FORM 5 STUDENT'S COPY

500.00
24332 FS 159 TR 3.0 T 8-10AM lec TBA Computer 685.00
24335 FS 178 WRUVWX 3.0 W 9AM-12PM prac TBA; W 1-4PM prac TBA 500.00 Athletic 75.00
24337 FS 197 TIJK 3.0 T 1-4PM lec TBA Cultural 50.00
24342 FS 199 TU 3.0 T 10AM-12PM lec TBA Medical and Dental 50.00
500.00
24343 FS 199 WYZ-1 0.0 W 4-7PM lab TBA Guidance

*********************************************nothing follows********************************************* Handbook

School ID Fee
Development 83.50
EDF
Others 0.00
I have read the University of the Philippines' Privacy Notice for Students. TOTAL FEES 31,083.50
I understand that for the UP System to carry out its mandate under the 1987 Constitution, the UP Charter, and other laws,
Less: Scholarship / Privilege 0.00
that the University must necessarily process my personal and sensitive personal information.
Therefore, I grant my consent to and recognize the authority of the University to process my personal and sensitive personal Less: Tuition Subsidy 27,000.00
information pursuant to the abovementioned Privacy Notice and other applicable laws. Less: Other School Fees Subsidy 4,083.50
Signature of Student Signature of Parent/Guardian (If student is a minor) AMOUNT PAYABLE 0.00
Library Clearance Country of Remaining Terms to Avail Assessed by:
Feb 02, 2022 03:32:45 pm
TOTAL UNITS 18.0 Citizenship
PHILIPPINES of RA10931 Privilege
4 bvnapalan

STFAP Bracket / ST code Payment Details Scholarship / Privilege

Signature and Sgd. TOLENTINO, MARK PAULO,
Printed Name of
Adviser

Signature of
SABATER
Certified by:

Date: First time to enroll in UP?

REGISTERED
Student No O.R. No. Date Amount Paid
Date Generated : February 2, 2022 20:33 This serves as OFFICIAL RECEIPT if amount is printed through cash register.