Republic of the Philippines

DALUBHASAAN NG LUNSOD NG SAN PABLO

Barangay San Jose, City of San Pablo
ALCUCOA REACCREDITED Level 1

Student No.: 21-01017 REGISTRATION FORM Application No.: EN-2363609

st nd ✓
PROGRAM/COURSE APPLIED FOR: 1 Sem 2 Sem ✓ Midyear
LRN:
BS IN BUSINESS ADMINISTRATION A.Y. 2023-2024 (for new students only)
Instructions: Read General and Documentary Requirements. Fill in all the required information. Do not leave an item blank. If item is not
applicable, indicate “N/A”.
PERSONAL INFORMATION

NAME (Last Name) (First Name) Middle Name Maiden Name (for married woman)
PUNGINAGINA JAIME SOLAIMAN Manggis

Date of Birth Permanent Mailing Address/ Bagong Bayan San Pablo Laguna
(MM/DD/YYYY)
0 4 / 0 1 / 2 0 0 2 Zip Code
4000
Age 21 Mobile Number 0 9 1 0 3 1 9 3 4 2 6
Place of Birth Tanauan City Batangas E-mail Address [email protected]
Sex ✓ Male Female Nationality Filipino
Name of /NA Relationship Occupation
Parent/Guardian /NA /NA
Civil Status: Student Type Are you enjoying other educational/ Are you a member of any indigenous
✓ Continuing Old financial assistance? group?
✓ Single ✓ Regular Irregular Yes or No ✓ Yes or No ✓
Married New Enrollee If yes, please specify: Pls. specify_______________________
Widowed Returning Student Are you a solo parent?
Separated Yes No ___________________________ Yes or No ✓
Are you a person with disability?
Yes or No ✓
SCHOOL RECORD
Intermediate Year Graduated
Senior High School San Pablo Colleges Year Graduated 06/20/2021
College Year Graduated
Highest Year Completed
Last School Attended San Pablo Colleges
COURSES ENROLLED
Course Course Description Units Time Days Section Instructor
No.
Code
1 2:00- BSBA-
PFM5 Investment & Portfolio Management 3 TTh
3:30:PFM5 3E(FinM)
2 11:00- BSBA-
PFM6 Credit & Collection 3 TTh
12:30 3E(FinM)
3 BSBA-
FME1 Risk Management 3 8:00-11:00 S
3E(FinM)
4 BSBA-
FME2 Franchising 3 8:00-9:30 TTh
3E(FinM)
5 BSBA-
BANA2 Business Analytics 2 3 9:30-11:00 TTh
3E(FinM)
6 BSBA-
BACC8 Feasibility Study 3 11:30-2:30 S
3E(FinM)
7
8
Total Number of Units 18
Note: To be filled out by Finance Officer
I HEREBY CERTIFY that all information indicated in this form and on the Student Type: ✓ Resident Non-Resident
documents attached in this application for free tuition 2017 program are true Amount
and correct and that any concealment or misrepresentation of facts therein Tuition fee 3,000
found will adversely affect my application. Other School Fees
Likewise, I am fully aware that DLSP may share such information to Registration fee 100
affiliated or partner organizations as part of its contractual obligations, or Guidance fee 100
with government agencies pursuant to law or legal processes. In this regard, Medical/Dental fee 100
I hereby allow DLSP to collect, process, use and share my personal data in Athletic fee 100
the pursuit of its legitimate academic, research, and employment purposes Library fee 100
and/or interests as an educational institution. Development fee 100
Computer fee 500
_____________________________________ Cultural fee 100
(Signature over Printed Name of Applicant)

__________________
Date Accomplished

Approved by:

Prof. Layzon G. Briones, MPA Total Fees 4,200

MS. VRENALI R. TOLENTINO ________________________
Assessed: Certified:
Registrar II Dean

Benjamin F. Maghirang Elibert O. Singson

Account Officer Cashier I

Form No.: DLSP-SCO-UNI–01 Revision No.: 02 Effectivity Date: December 31, 2019 Page 1 of 1