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Rizal Campus Pre-Enrollment Form 2025-2026

The document is a tentative assessment form for a student named Rubielyn Montallana, enrolled in the BSCOE-B course at Rizal Campus for the academic term of Second, 2025-2026. It outlines her class schedule, fees totaling Php 8,683.00, and payment options including a cash payment and installment plan. The form also includes a reminder for payment settlement within 48 hours to avoid class schedule deletion.

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velasquezruby172
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8 views1 page

Rizal Campus Pre-Enrollment Form 2025-2026

The document is a tentative assessment form for a student named Rubielyn Montallana, enrolled in the BSCOE-B course at Rizal Campus for the academic term of Second, 2025-2026. It outlines her class schedule, fees totaling Php 8,683.00, and payment options including a cash payment and installment plan. The form also includes a reminder for payment settlement within 48 hours to avoid class schedule deletion.

Uploaded by

velasquezruby172
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Rizal, Philippines

TENTATIVE AND ASSESSMENT FORM

Campus : Rizal Academic Term : Second Academic Year : 2025-2026


Applicant No : CA202303642 Full Name : RUBIELYN ELLEGO Sex : Female
MONTALLANA
Course : BSCOE-B Major : Year Level/Status : 3rd-REGULAR
Home Address : PUROK 3 ZONE 1B, PAYPAYON (POB.), ORAS, EASTERN SAMAR Contact Number : 09369689265

Subject/s Section Lab Units Lec Units Days Time and Date Room
OLENGADS02LEC LFCA222E076 0 3 MTH 07:30 pm - 09:00 pm Dec 03, 2025 B4.11
OLENGADS02LAB LFCA222E076 1 0 MTH 09:00 pm - 10:30 pm Dec 03, 2025 B4.11
OLFIL-03 LFCA422E078 0 3 TF 07:30 pm - 09:00 pm Dec 03, 2025
OLCISCO-02 LFCA322A050 1 3 WS 06:00 pm - 07:30 pm Dec 03, 2025 B4.24
OLCOERES LFCA322E077 0 3 WS 07:30 pm - 09:00 pm Dec 03, 2025

Tuition Fee Laboratory Fee Miscellaneous Fee Special Subject Total Amount

1,820.00 2,950.00 2,313.00 0.00 7,083.00

Other Fees 120.00


LMS Fee 370.00
Student Portal Fee 370.00
Drug Test 250.00
Mailing Fee 60.00
Health Diagnostics 400.00
Test Booklet 30.00
TOTAL Php 8,683.00

Cash Payment Installment Payment Schedule


Php 7,974.70 Amount Due Dates Late Payments Penalties
Downpayment 1,430.00 Dec 03, 2025 5% Dec 04 onwards
10% Cash Discount 1st Installment 1,827.80 Dec 16, 2025 5% Dec 17 onwards
2nd Installment 1,827.80 Jan 02, 2026 5% Jan 03 onwards
for FULL PAYMENT 3rd Installment 1,827.80 Jan 16, 2026 5% Jan 17 onwards
4th Installment 1,827.80 Feb 02, 2026 5% Feb 03 onwards
made on or before 5th Installment 812.35 Feb 16, 2026 5% Feb 17 onwards
TOTAL 9,553.55
Dec 02, 2025

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: Date & Time Accomplished


Upon completion and printing of this PRE-ENROLLMENT, payment of either in CASH or DOWN PAYMENT
05:32PM / 04 Dec 2025
MUST BE SETTLED WITHIN 48 HOURS otherwise class schedules will be automatically deleted.

Prepared by: RUBIELYN MONTALLANA

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