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 19-0491 STUD_TYPE NEW
NAME TUMALI, MICHELLE B. STATUS REGULAR
COLLEGE CVSM COURSE DVM YR/SECTION 1_1 AGE 18 GENDER F

# SUBJECT CODE DAYS TIME ROOM UNITS

1 CHEM 1206 LAB A MTH 07:00 AM-10:00 AM 225,222 2
2 FILKOM 1100 WF 07:00 AM-08:30 AM 717 3
3 NSTP 1100 S 08:00 AM-11:00 AM FLD 3
4 CHEM 1206 F 09:00 AM-11:00 AM 717 2
5 PE 1100 M 10:00 AM-12:00 PM gym 2
6 ZOOT 1100 TTh 10:00 AM-11:30 AM 717 3
7 MATH 1100 TTh 01:00 PM-02:30 PM 717 3
8 SOCSCI 1110 TTH 02:30 PM-04:00 PM 717 3
SCHOLARSHIP:UNIFAST(RA 10931) TOTAL UNITS 21

ASSESSMENT OF FEES

TUITION FEE AMOUNT

1. TUITION FEE (21 * 161 ) Php 3,381.00
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 300.00
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 2,067.50

TOTAL ASSESSED FEES Php 5,448.50

TOTAL AMOUNT TO PAY : Php 0.00

TOTAL AMOUNT FOR BILLING : Php 5,448.50

Amount Paid Php 0.00

OR No TUMALI, MICHELLE B.
Date Student's Signature

ACA. OAD. YYY.F.006 (Revision No. 0; August 1, 2016) Printed on 2019-Jul-24 10:52 5878470cv3767