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 19-3607 STUD_TYPE NEW
NAME DESTOR, MICHELLE T. STATUS REGULAR
COLLEGE CBAA COURSE BSENTREP YR/SECTION 1-2 AGE 18 GENDER F

# SUBJECT CODE DAYS TIME ROOM UNITS

1 NSTP 1100 S 07:30 AM-11:30 AM FLD 3
2 ECON 1100 TF 08:30 AM-10:00 AM 806 3
3 SOCSCI 1110 MW 08:30 AM-10:00 AM 806 3
4 MNGT 1100 MTH 10:00 AM-11:30 AM B1,806 3
08:30 AM-10:00 AM
5 PE 1100 T 01:00 PM-03:00 PM FLD 2
6 ENTREP 1101 WF 01:00 PM-02:30 PM 806 3
7 PSYCH 1100 W 02:30 PM-04:00 PM 806 3
SCHOLARSHIP:UNIFAST(RA 10931) TOTAL UNITS 20

ASSESSMENT OF FEES

TUITION FEE AMOUNT

1. TUITION FEE (20 * 161 ) Php 3,220.00
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 5,087.50

TOTAL AMOUNT TO PAY : Php 0.00

TOTAL AMOUNT FOR BILLING : Php 5,087.50

Amount Paid Php 0.00

OR No DESTOR, MICHELLE T.
Date Student's Signature

ACA. OAD. YYY.F.006 (Revision No. 0; August 1, 2016) Printed on 2019-Aug-04 10:52 5878470cv3767