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Form 5 (Revised 2017) Republic of the Philippines

MARIANO MARCOS STATE UNIVERSITY


Ilocos Norte
CERTIFICATE OF REGISTRATION
2023-01-16
Student Number: 22-150709 Semester : Second
Name : VALDEZ, ADRIAN GANAL Academic Year : 2022-2023
Degree : BS in Mechanical Engineering Year / Section : 1 - B
ASSESSMENT
Course Code Units Time Day Room/College
Description Amount
CHE 10 4.00 11-12/2-5 MWF/TH RM 8 CAB/CAS Tuition Fee 2,400.00
STS 01 3.00 1-2 MWF RM 12 CAB Registration Fee 100.00
Comm 01 3.00 10-11 MWF RM 8 CAB Library Fee 150.00
Medical/Dental Fee 50.00
SocSc 01 3.00 9-10 MWF RM 8 CAB
Athletic Fee 65.00
CAD 11 1.00 2-5 F CAD RM 2 Cultural Development Fee 50.00
PHY 10 4.00 7:30-9/2-5 TTH/T RM 9 CAB/CAS Guidance Fee 40.00
NSTP 02 3.00 8-11 S COE Alay Lakad Fee (Sports 15.00
PE 02 2.00 10-12 TH TEATRO Enhancement Fee)
BASEMENT SCUAA Fee 25.00
MATH 4.00 9-10/2-3/2-5 TTH/W/M RM 9 CAB Student Body Organization Fee 30.00
35_N University Organ Fee 60.00
Mutual Aid Fund 25.00
Total Units : 27.0
Comp Laboratory Fee 450.00
Comp Lab Units : 1.0 Mode of Payment NSTP Fee 150.00
Non-Comp Lab Units : 2.0
Laboratory Fee(Phy/Sci) 500.00
Status: Regular
TOTAL(Free): PhP 4,110.00
Full Payment PhP 0.00 Scholarship: -- NONE --

1st Installment PhP 0.00

2nd Installment PhP 0.00

3rd Installment PhP 0.00

RA 10931, Universal Access to Quality Tertiary Education Act of 2017 PhP 4,110.00
YOU ARE NOW OFFICIALLY ENROLLED

Date & time of enlistment: Tue, Jan 10, 2023 8:35 AM


Date & time approved: Mon, Jan 16, 2023 11:10 AM

DATA PRIVACY CONSENT

I explicitly and unambiguously consent to the collection, processing and storage of my personal data by MMSU for the purpose(s)
described in the MMSU Data Privacy Notice (http://www.mmsu.edu.ph/about/mmsu-dataprivacy-notice).

Signature of Student

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