Republic of the Philippines

CENTRAL LUZON STATE UNIVERSITY

Science City of Muñoz, Nueva Ecija

OFFICE OF THE ADMISSIONS

REGISTRATION FORM
First Semester SY 2019-2020
STUDENT ID NO 19-0927 STUD_TYPE NEW
NAME VALDEZ, RHOLDAN G. STATUS REGULAR
COLLEGE CAS COURSE BSMATH P YR/SECTION AGE 19 GENDER M

# SUBJECT CODE DAYS TIME ROOM UNITS

1 MATH 1100 WF 07:00 AM-08:30 AM 286 3
2 NSTP 1100 S 07:30 AM-11:30 AM FLD 3
3 COMM 1100 MTh 08:30 AM-10:00 AM 287,280 3
4 FILKOM 1100 TF 08:30 AM-10:00 AM 280 3
5 MATH 1215 TThF 01:00 PM-02:30 PM 286 5
6 MATH 1202 MW 02:30 PM-04:00 PM 287 3
7 PE 1100 Th 03:00 PM-05:00 PM GYM 2
SCHOLARSHIP:UNIFAST(RA 10931) TOTAL UNITS 22

ASSESSMENT OF FEES

TUITION FEE AMOUNT

1. TUITION FEE (22 * 161 ) Php 3,542.00
MISCELLANEOUS AND OTHER SCHOOL FEES
1. ADMISSION FEES Php 380.00
2. ATHLETIC FEES 275.00
3. COMPUTER FEE 0.00
4. CULTURAL FEE 0.00
5. DEVELOPMENT FEES 67.50
6. ENTRANCE FEE 200.00
7. GUIDANCE FEES 180.00
8. HANDBOOK FEE 0.00
9. LABORATORY FEES 100.00
10. LIBRARY FEE 200.00
11. MEDICAL AND DENTAL FEES 300.00
12. REGISTRATION FEE 100.00
13. SCHOOL ID 65.00
14. OTHER FEES 0.00

SUBTOTAL Php 1,867.50

TOTAL ASSESSED FEES Php 5,409.50

TOTAL AMOUNT TO PAY : Php 0.00

TOTAL AMOUNT FOR BILLING : Php 5,409.50

Amount Paid Php 0.00

OR No VALDEZ, RHOLDAN G.
Date Student's Signature

ACA. OAD. YYY.F.006 (Revision No. 0; August 1, 2016) Printed on 2019-Jul-26 10:52 5878470cv3767