Republic of the Philippines

TARLAC STATE UNIVERSITY

Tarlac City
PRE-REGISTRATION / ASSESSMENT FORM
2017-2018 1ST SEMESETER
* * * NON-PAYMENT OF THIS REGISTRATION DOES NOT GUARANTEE YOUR ENROLLMENT * * *
Student No: 2014102901 Registration No: 0263061640
Student Name: MELEGRITO,Sherwin Ladignon Reg.Date: 3-Aug-2017 3:52 pm

College: CCS Year Level: 2nd year

Program: Bachelor of Science in Information System Scholarship: FREE TUITON
Major: Template: 2014 CCS Male-1.

R E G I S T E R E D S U B J E C T S
CODE SUBJECT TITLE LEC LEC LAB Section Schedule Room
Unit Hr Unit
ALT* AUTOMATA & LANGUAGE THEORY 3.0 2.0 0.0 BSIS-2B T 03:00 PM – 5:30PM
PL PROGRAMMING LANGUAGES 3.0 3.0 0.0 BSIS-2B WF 07:00 AM – 09:30AM
COMFUN COMP.& FUNDAMENTALS 3.0 3.0 0.0 BSIS-2B TTH 07:00 AM – 09:30AM
CCNA 3* CISCO 3 3.0 3.0 0.0 BSIS-2B WF 01:00 PM – 02:30PM
ASP APPLICATION SOFTWARE PACKAGES 3.0 3.0 0.0 BSIS-2B TTH 01:00 PM – 02:30PM
DIGDESG DIGITAL DESIGN 2.0 3.0 1.0 BSIS-2B TH 03:00PM – 05:30 PM
PSY 2 LOGIC 2 3.0 3.0 0.0 BSIS-2B F 03:00PM – 05:30 PM
Total 20.0 21.0 1.0

A S S E S S E D F E E S
A C C O U N T S Full Payment 1st 2nd
REGISTRATION FEE 120.00 60.00 60.00 Please check whether all entries in
MEDICAL & DENTAL 120.00 60.00 60.00 this Pre-Registration / Assessment
LIBRARY 120.00 60.00 60.00 Form are accurate and correct.
ENERGY FEE (CCS) 100.00 50.00 50.00
INTERNET SERVICE FEE 150.00 150.00 -
SCHOOL ORGAN 50.00 50.00 -
COLEGE PUBLICATION 40.00 40.00 -
SUPREME STUDENT COUNCIL 50.00 50.00 -
SUB-SUPREME STUDENT COUNCIL 100.00 100.00 - Checked By:
LECTURE(DAY) - - -
CCNA 3*(2@260)
TOTAL ASSESED FEE 00.00 00.00 - Prellejera, Gloria L.
LABORATORY SERVICE FEE (DAY) 2,000.00 1,000.00 1,000.00

TOTAL 2,700.00 1,800.00 900.00 Kindly sign below to attest the

PLEASE SELECT Full Installment Correctness of all entries.

*Refundable subject to the reservation of the student.

Please pay on time: 1st Payment - Aug. 4, 2017 Conforme:

2nd Payment-
Your registration will expire on
July 28, 2017 11:59pm MELEGRITO, Sherwin Ladignon

Kindly disregard expiration if registration is already paid.

* * * NO – PAYMENTOFTHIS REGISTRATION DOES NOT GUARANTEE YOUR ENROLLMENT * * *

Date Printed June 1 2017 4:19:33pm