Registration No: 1030652

Republic of the Philippines

DON HONORIO VENTURA STATE UNIVERSITY
DHVSU - Bacolor Campus
1st Semester AY 2023-2024

CERTIFICATE OF REGISTRATION

STUDENT GENERAL INFORMATION

Student No: 2022312641 Course: Bachelor of Science in Information Technology
Name: LUZANO, Jayson O. Year Level: 2nd Year

U N I T
CODE SUBJECT TITLE Lec Lab Credit
SECTION SCHEDULE / ROOM
ENGLISH 213 Purposive Communication 3 0 3 INFO 2J
CC 213(D) Data Structure 2 1 3 INFO 2J
MULTI 213 Multimedia Animation 2 1 3 INFO 2J
CC 213(E) Information Management (DBMS) 2 1 3 INFO 2J
ETHICS 213 Ethics 3 0 3 INFO 2J
ITELEC 1 Object Oriented Programming (JAVA) 2 1 3 INFO 2J
SOCSCI 213 Rizal's Life and Works 3 0 3 INFO 2J
PATHFit 212 Menu of Dance, Sports, Group Exercise, Outdoor, and Adventure 0 2 2 INFO 2J
Activities 1
Total Subject/s: 8 Total Unit(s) 17 6 23

A S S E S S S E D F E E S
Tuition Fees (TF@23) 5,060.00
School ID Fees 5.00
DOLORES D. MALLARI, PH. D.
Registration Fees 100.00
Miscellaneous Fees 70.00 UNIVERSITY REGISTRAR
Medical/Dental Fees 80.00
Library Fees 150.00
SCHEDULE FOR THE REFUND OF FEES (Tuition fees only) IF APPLICABLE
Laboratory Fees 600.00
Insurance Fees 50.00 Regular Classess Summer
Guidance Fees 50.00 Within 1 week from the Within the 2nd day after
- 10% charges - 10% charges
Development Fees-IRSF 1,700.00 opening of classes the opening of classes
Cultural Fees 100.00
Within the 3rd/4th day
Computer Fees 200.00 Within the 2nd week - 20% charges - 20% charges
after the opening of
Athletic Fees 160.00
Development Fees-USC Fees 70.00 5th day after the
Within the 3rd week - 30% charges - No refund
Development Fees-Industrialist Fees 70.00 opening of classes
Development Fees-CCS (Main) College 50.00
Total Assessment : 8,515.00 Within the 4th week - No refund
Less: Financial Aid : 0.00
Net Assessed : 8,515.00
Total Payment : 0.00 In consideration of my admission to Don Honorio Ventura State University and
Credit Memo : 0.00 of the privileges of students in this Institution. I hereby abide by and comply with
Total Balance : 8,515.00 all the rules and regulations laid down by competent authorities Don Honorio
Ventura State University in which I am enrolled.
Addt'l Prev. Balance : 9,850.00
Outstanding Balance : 18,365.00

DATA PRIVACY CONSENT

By signing this information sheet/application form, you are hereby giving STUDENT SIGNATURE
your consent to DHVSU to collect/process your personal data.

SIGNATURE OVER PRINTED NAME Official Receipt:

Date of Payment:

Date Printed : September 15, 2023

DHVSU-QSP-REG-001-FO003-R00