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1. Rizal, Philippines
TENTATIVE AND ASSESSMENT FORM
Campus : Rizal Academic Term : First Academic Year : 2020-2021
Student Number : UA2021A01705 Full Name : VENZ VARGAS TAPALES Sex : Male
Course : BSC Major : Year Level/Status : 1st-REGULAR
Home Address : MORROSSI COMPOUND, SANTA CRUZ, CITY OF ANTIPOLO, RIZAL Contact Number : +639974477801
Subject/s Section Lab Units Lec Units Days Time and Date Room
OLENG01 OLAUN2 0 3 TTHS 11:00 am - 12:00 pm AUVRM2
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OLFIL-01 OLAUN2 0 3 TTHS 12:00 pm - 01:00 pm AUVRM2
(wr53ad)
OLMATH01 OLAUN2 0 3 TTHS 01:00 pm - 02:00 pm AUVRM2
(bf5kn4)
OLSOFAPP OLAUN2 1 3 TTHS 02:00 pm - 03:00 pm AUVRM2
(fazwrn)
Tuition Fee Laboratory Fee Miscellaneous Fee Others Total Amount
1,690.00 0.00 1,740.00 0.00 3,430.00
TOTAL Php 3,430.00
Cash Payment
Php 3,430.00
0% Cash Discount
for FULL PAYMENT
made on or before
Sep 09, 2020
Installment Payment Schedule
Amount Due Dates Late Payments Penalties
Downpayment 1,000.00 Sep 10, 2020
1st Installment 544.35 Oct 01, 2020
2nd Installment 544.35 Oct 16, 2020
3rd Installment 544.35 Nov 03, 2020
4th Installment 544.35 Nov 16, 2020
5th Installment 544.35 Dec 03, 2020
TOTAL 3,721.75
I shall abide by all the rules and regulations now enforced or may be promulgated by the School Management System from time to time, likewise,
I agree to the cancellation of the credits I have earned in subjects and have enrolled under false pretensed.
REMINDER:
Upon completion and printing of this PRE-ENROLLMENT, payment of either in CASH or DOWN PAYMENT
MUST BE SETTLED WITHIN 48 HOURS otherwise class schedules will be automatically deleted.
Date & Time Accomplished
03:11PM / 14 Aug 2020
Prepared by: ROSE ANN FRANCISCO