This document is an assessment and registration form for Onela Tapales Pizarro from Sumulong Memorial High School. It provides her student information and lists the courses she is enrolled in for the 2020-2021 junior high school term. It also includes a financial statement showing a total fee of PHP 25,215 with a PHP 9,000 discount, leaving a total balance of PHP 16,215 to be paid in 10 monthly installments over the school year. The parent or guardian must sign to acknowledge the payment plan.

1. REG-114352-06232020 DATE: 06-23-2020 TIME: 11:44:08 - 08-077
JUAN SUMULONG MEMORIAL SCHOOLS SYSTEM, INC.
SUMULONG MEMORIAL HIGH SCHOOL
GEN. LUNA STREET BRGY SAN ROQUE ANTIPOLO CITY
ASSESSMENT / REGISTRATION FORM
Student Status: REGULAR
STUDENT INFORMATION
STUDENT NO: 3JHS201900443 STUDENT NAME: Pizarro, Onela Tapales SECTION: TBA_GR8
YEAR/TERM: 2020-2021 / N/A PROGRAM: Junior High School LEVEL: GRADE 8
ACADEMIC INFORMATION
COURSE DESCRIPTION SECTION DAY TIME-IN TIME-OUT DURATION ROOM NO INSTRUCTOR
Araling Panlipunan TBA_GR8 TBA TBA TBA TBA TBA TBA
Conduct TBA_GR8 TBA TBA TBA TBA TBA TBA
Edukasyon Sa Pagpapakatao TBA_GR8 TBA TBA TBA TBA TBA TBA
English (Jrh) TBA_GR8 TBA TBA TBA TBA TBA TBA
Extra Curricular Activities TBA_GR8 TBA TBA TBA TBA TBA TBA
Filipino TBA_GR8 TBA TBA TBA TBA TBA TBA
Mapeh TBA_GR8 TBA TBA TBA TBA TBA TBA
Mathematics TBA_GR8 TBA TBA TBA TBA TBA TBA
Science TBA_GR8 TBA TBA TBA TBA TBA TBA
Technology And Livelihood Education TBA_GR8 TBA TBA TBA TBA TBA TBA
FINANCIAL STATEMENT OF ACCOUNTS
Please download this form and print or take a screenshot and proceed
to the cashier’s office for payment on June 25, 2020 from 8am to
1pm.
SUMMARY OF PAYMENTS
TOTAL FEE/S: 25,215.00
TOTAL DISCOUNT: 9,000.00
TOTAL ASSESSED: 16,215.00
PAYMENT MADE: 0.00
TOTAL BALANCE: 16,215.00
RETURN AMOUNT: 0.0
MODE OF PAYMENT/S
PAYMENT PLAN: EASY PAYMENT
TERM/S OF PAYMENT
Down-Payment 06-23-2020 1,873.50 PHP
Payment #02 09-01-2020 1,593.50 PHP
Payment #03 10-01-2020 1,593.50 PHP
Payment #04 11-01-2020 1,593.50 PHP
Payment #05 12-01-2020 1,593.50 PHP
Payment #06 01-01-2021 1,593.50 PHP
Payment #07 02-01-2021 1,593.50 PHP
Payment #08 03-01-2021 1,593.50 PHP
Payment #09 04-01-2021 1,593.50 PHP
Payment #10 05-01-2021 1,593.50 PHP
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PARENT /GUARDIAN SIGNATURE OVER PRINTED NAME