HOLY CROSS COLLEGE OF CARIGARA - COLLEGE

REBOLLEDO STREET, PONONG, CARIGARA, LEYTE 6529

APPLICATION NO.
HCCC-C-23-009368

Bachelor of Physical Education (BPEd)

(AY 2022 - 2023 - Semester 2)
(ENROLLING FOR)

Glen Aerick Avorque Panis

(FIRST NAME) (MIDDLE NAME) (LAST NAME)

Bulod Bulod Leyte Barugo Barugo Philippines 6519

(COMPLETE ADDRESS)

December 30, 1999 Filipino Catholic

(DATE OF BIRTH) (PLACE OF BIRTH) (RELIGION)

9107290999 9107290999
(LANDLINE) (MOBILE NUMBER)

HCCC Carigara
(SCHOOL LAST ATTENDED) (ADDRESS)

PARENT'S CONTACT INFORMATION

PARTICULARS FATHER'S INFO MOTHER'S INFO

(NAME) Glen Panis Aida Panis

(HIGHEST EDUCATIONAL
College Level College Level
ATTAINMENT)

(BUSINESS
Bulod Barugo,Leyte Bulod
ADDRESS)

(OFFICE NUMBER) 09302641110 09302641110

(MOBILE NUMBER) 09302641110 09302641110

(E-MAIL ADDRESS) glendafatimapanis@gmail.com glendafatimapanis@gmail.com

I certify that the information above as submitted in this application is true and correct to the best of my knowledge. I further understand
that any false statement may result in the denial or revocation of my admission.

(STUDENT'S SIGNATURE) (PARENT'S SIGNATURE)

 HOLY CROSS COLLEGE OF CARIGARA - COLLEGE
REBOLLEDO STREET, PONONG, CARIGARA, LEYTE 6529

APPLICATION NO.
HCCC-C-23-009368

SUBJECTS / UNITS TO TAKE

Bachelor of Physical Education (BPEd)

(AY 2022 - 2023 - Semester 2)
(ENROLLING FOR)

Subject Code Title Class / Professor Description

23000 Reading Visual Arts CLS-1 - Peter Paul Reading Visual Arts
Peruda

23001 Gender and Society CLS-1 - Peter Paul

Peruda

23002 Team Sports/Games CLS-1 - Arold Bodo

6029 Applied Motor Control and CLS-1 - Arold Bodo Applied Motor Control and Learning of Exercise,
Learning of Exercise, Sports Sports and Dance
and Dance

6030 Philippine’s Traditional CLS-1 - Arold Bodo Phil Traditional Dances

Dances

6031 Internatonal Dance and CLS-1 - Arold Bodo Internatonal Dance and Other Dance Forms
Other Dance Forms

7506 National Service Training CLS-1 - Peter Paul National Service Training Program
Program Peruda

7507 Individual and Dual Sports CLS-1 - Arold Bodo Individual and Dual Sports (Racket Sports and
(Racket Sports and Athletics)
Athletics)

7508 Assessment in Learning 2 CLS-1 - Trixia Ann Assessment in Learning 2

Colibao

7510 The Life and Works of Rizal CLS-1 - Bella Jean The Life and Works of Rizal
Obaob
(STUDENT'S SIGNATURE) (PARENT'S SIGNATURE)
 HOLY CROSS COLLEGE OF CARIGARA - COLLEGE
REBOLLEDO STREET, PONONG, CARIGARA, LEYTE 6529

APPLICATION NO.
HCCC-C-23-009368

ENROLLMENT APPLICATION

ASSESSMENT (MONTHLY) 6. That I/We am/are made aware that the School reserves the
right to withhold the transfer credentials of any Pupil or Student
PARTICULAR AMOUNT
for reasons of dismissal, expulsion, or NON-PAYMENT OF
REGISTRATION FEE 500.00 FINANCIAL OBLIGATIONS or property responsibility of the pupil
TUITION FEE 8,700.00 or student to the School. THE CREDENTIALS SHALL ONLY BE
OTHER FEES 3,050.00 RELEASED AS SOON HIS/HER OBLIGATIONS SHALL HAVE
LMS 1,800.00 BEEN SETTLED or the penalty of suspension or expulsion lifted;
TOTAL CURRENT CHARGES and
₱ 14,050.00
DOWN PAYMENT 0.00
7. That the School shall have the option not to readmit my/our
FEBRUARY 2023 3,512.50
son/daughter/ward for the succeeding school year until all
MARCH 2023 3,512.50 accounts due for the previous school year are settled.
APRIL 2023 3,512.50
MAY 2023 3,512.50 8. Provisions contained in this Agreement may be changed
without prior notice.

FINANCIAL AGREEMENT
9. For purposes of getting in touch with you on matters relative to
Be it known that I/We, Glen Panis & Aida Panis,parent/guardian of Glen Aerick Panis, a Y2
the above, please indicate your contact number (landline/mobile)
Grade/Year pupil/student have voluntarily enrolled my/our son/daughter to this institution and have
and mail address (office or personal).
agreed on the terms and conditions concerning my/our financial responsibility as a parent/guardian.
I/We am/are fully aware of the schemes of payment and the due dates and costs corresponding to
10. Should there be any change in the contact number/s, it is my
each mode of payment. Hence, I/We am/are obliged to follow the conditions of payment and am/are
responsibility to update and inform the School.
responsible for whatever consequences it may entail upon my/our son/daughter/ward:

11. That I/We am/are made aware that the School reserves the
1. That I/WE am/are committed to fulfill the full payment of the tuition fee, miscellaneous and other
right to adjust the school fee as the school deems appropriate in
fees on or before 2023-05-01 of the inclusive school year; That I/We am/are committed to adhere to
the future.
the prescribed schedule corresponding the mode of payment;

Holy Cross College Of Carigara - College will not be liable if a

2. That a corresponding flat rate surcharged of 5% (for payment in monthly installment basis) or a
messages were wrongfully sent to other person's number/s due
fixed fee of Php300.00 (for payment in a semi-installment basis), shall be imposed once I/We am/are
to inaccurate or not updated contact numbers/s.
unable to settle my/our liabilities on stated due dates.

Hence, I/We abide by the conditions set herein, Signed

3. That whenever a school activity requires an Activity Fee2 below Php500.00, a notice of payment
shall be given to me/us at least two (2) weeks before the activity; if more than Php500.00, notice
should be given to me/us one month before the activity. In case of financial incapability to pay the
Activity Fee, I/We undertake to sign the Enrollment Application Form authorizing the Finance
Department to charge to my /our son/daughter's account the unpaid Activity Fee, which will be settled
PARENT / GUARDIAN
in accordance with the provisions in the form.
(SIGNATURE OVER PRINTED NAME)

4. That I/We am/are informed that there will be no release of results of quarterly grade reports until
accounts are settled;
(PRINTED NAME OF CHILD / WARD)
5. That my/our son/daughter/ward will not receive his/her report card during the date of distribution
and he/she may not be able to qualify for recognition of quarterly honors due to incomplete grades;

(CONTACT NUMBER)

(EMAIL ADDRESS)