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(White
BICOL TRAINING AND TECHNOLOGICAL COLLEGE, INC. background)
Aguinaldo St., Bacacay, Albay
Email: techvocbttci@gmail.com
ENROLLMENT FORM

Student No: _____________ Course: ______________________ Major: ____________________

NAME:
Last First Middle Name
ADDRESS:
Purok/ Street Barangay City/ Municipality

District Province Region

PERSONAL INFORMATION

Gender: Male Educational Attainment: Contact No.: _______________

Female College Grad Birth Date: _________________
Civil Status: Single College Undergrad Birth Place: ________________
Married Senior High School Graduate Height: ____ Weight: ______
Widower Junior High School Graduate Religion: _________ Age: ____
Separated Elementary Graduate Citizenship: ________________
Father’s Name: __________________________________ Occupation: _______________
Mother’s Name: _________________________________ Occupation: _______________

ASSESSMENT PAYMENTS

Balance: ____________
Tuition/ Training Fee: ____________ 1st Payment 2nd Payment 3rd Payment 4th Payment Full Payment Remarks
Misc... Fee: ____________
Lab. Fee: ____________
Others: ____________
Total: ____________

Assessed by: Certified True & Correct:

______________________ ________________________
IMELDA B. BERTILLO Student’s Name & Signature
Cashier

___________________
NANCY O. BELLEN
Registrar