Republic of the Philippines
COMMISSION ON HIGHER EDUCATION
Region V
1x1
BACACAY COMMUNITY COLLEGE Picture
San Pedro, Bacacay, Albay
OFFICE OF THE REGISTRAR
S.Y_________________________
WHITE FORM
Surname First Name Middle Name
Semester: Student ID No. New Old Cross- Enrollee Transferee
Course: Year Level Block Remarks:
SUBJECTS UNITS DAYS TIME ROOM FEES
Tuition Fee per unit
Registration
Computer Fee
Internet Fee
Energy Fee
Library Ffee
Laboratory Fee
Development Fee
Cultural Fee
Guidance Fee
Handbook Fee
Medical/Dental
School ID
NSTP/ROTC
Scholarship/ Privilege _______________________________________________________
Assessed by:__________________________________ _______________________________________
Student Signature
Adviser:_________________________________ Assessed by:___________________________
Approved by:______________________________________ ____________________________
Dean/ Representative Registrar
TOTAL
Initial Payment: Php _____________
Total __________________
STUDENT COPY Date Enrolled:__________________
EXAMINATION PERMIT
Name:
_____________________________________________________________________________
Surname First Name Middle Name
Course: _________________________________________________ Year: ___________
PAYMENTS:
Period Cov. Date Amount Due O.R. No. DR CR Balance
Entrance
Perelims
Mid-term
Pre-finals
Finals
Total
Proctor's Signature
Subjects
Prelims Mid-term Pre-finals Finals
Registrar's Instruction:
This serves as examination permit. Present validated card with picture to the Proctor
during examinations for his/her signature. Erasure or alteration shall invalidate this permit.
Republic of the Philippines
COMMISSION ON HIGHER EDUCATION
Region V
1x1
BACACAY COMMUNITY COLLEGE Picture
San Pedro, Bacacay, Albay
OFFICE OF THE REGISTRAR
S.Y_________________________
WHITE FORM
Surname First Name Middle ame
Semester: Student ID No. New Old Cross- Enrollee Transferee
Course: Year Level Block Remarks:
SUBJECTS UNITS DAYS TIME ROOM FEES
Tuition Fee per unit
Registration
Computer Fee
Internet Fee
Energy Fee
Library Ffee
Laboratory Fee
Development Fee
Cultural Fee
Guidance Fee
Handbook Fee
Medical/Dental
School ID
NSTP/ROTC
CREDENTIALS FILED_____________ ( ) Form 138 ( ) Hon. Dis. ( ) Transcript
P
those governing fees and hereby promise to abide them as well as those that may be promulgated from time to time.
I understand that my enrollment will be CANCELLED under FALSE PRETENCES such as the use of irregular credentials, being
debarred from readmission or reasons of HONORABLE DISMISSAL for BCC poor scholastic standing disciplinary action that my
graduation in due time depend on the completion not of ACADEMIC UNITS but also of the REQUIRED UNITS in (1) PE, (2) NSTP, SCIENCE and
government requirements.
__________________________
Student Signature
Approved by:______________________________________ __________________________
Dean/ Representative Registrar
Date Enrolled:_______________________
REGISTRAR'S COPY
PERSONAL DATA
Name: ________________________________________________________________________
Contact Number: ________________________________________________________________
______________________________ ________________________________________
Date of Birth Place of Birth
______________________________________________________________________________
Home Address
_____________ _______ __________________ _______________
Age Sex Citizenship ZIP CODE
________________________________________________________________
Email Address
Last S.Y. Attended
School Name:
School Address:
_______________________________________________________________
College (Course & Higher Attainment)
_______________________________________________________________20_____________
College-University Course Year
Republic of the Philippines
COMMISSION ON HIGHER EDUCATION
Region V
1x1
BACACAY COMMUNITY COLLEGE Picture
San Pedro, Bacacay, Albay
OFFICE OF THE REGISTRAR
S.Y_________________________
WHITE FORM
Surname First Name Middle Name
Semester: Student ID No. New Old Cross- Enrollee Transferee
Course: Year Level Block Remarks:
SUBJECTS UNITS DAYS TIME ROOM FEES
Tuition Fee per unit
Registration
Computer Fee
Internet Fee
Energy Fee
Library Ffee
Laboratory Fee
Development Fee
Cultural Fee
Guidance Fee
Handbook Fee
Medical/Dental
School ID
NSTP/ROTC
Approved by:______________________________________ _________________________
Dean/ Representative Registrar
Date Enrolled:________________
DEAN'S COPY
DEAN'S COPY
Student's Local Address:
__________________________________________________________________________
Check one [ ] Boarding House
[ ] With Family
[ ] with Relatives
Name of Father / Mother / Guardian at Local Address:
____________________________________________________________________________
Name of boarding house operator (if living in a boading house)
____________________________________________________________________________
____________________________________________________________________________
Name and address of parents (if not in address)
______________________________________
Signature of Student
Civil Status ___________
_________
__________
__________
__________
____________
Republic of the Philippines
COMMISSION ON HIGHER EDUCATION
Region V
1x1
BACACAY COMMUNITY COLLEGE Picture
San Pedro, Bacacay, Albay
OFFICE OF THE REGISTRAR
S.Y_________________________
WHITE FORM
Surname First Name Middle Name
Semester: Student ID No. New Old Cross- Enrollee Transferee
Course: Year Level Block Remarks:
SUBJECTS UNITS DAYS TIME ROOM FEES
Tuition Fee per unit
Registration
Computer Fee
Internet Fee
Energy Fee
Library Ffee
Laboratory Fee
Development Fee
Cultural Fee
Guidance Fee
Handbook Fee
Medical/Dental
School ID
NSTP/ROTC
Assessed by:__________________________________ _______________________________________
Student Signature
Approved by:______________________________________ ______________________________
Dean/ Representative Registrar
TOTAL
Initial Payment: Php _____________
Total __________________
LGU ACCTG'S COPY Date Enrolled:__________________
ACCOUNTING (LGU) UNIT'S COPY
Student's Local Address:
__________________________________________________________________________
Check one [ ] Boarding House
[ ] With Family
[ ] with Relatives
____________________________________________________________________________
Name of boarding house operator (if living in a boading house)
____________________________________________________________________________
______________________________________
Signature of Student
Student's Name: _____________________________________________________________
Surname Given Name Middle Name
_____________________________________________________________
Course & Year Sem. School Year
Period Cov. Date Amount Due O.R. No. DR CR Balance
Entrance
Perelims
Mid-term
Pre-finals
Finals
Total
.
Republic of the Philippines
COMMISSION ON HIGHER EDUCATION
Region V
1x1
BACACAY COMMUNITY COLLEGE Picture
San Pedro, Bacacay, Albay
OFFICE OF THE REGISTRAR
S.Y________________________
WHITE FORM
Surname First Name Middle Name
Semester: Student ID No. New Old Cross- Enrollee Transferee
Course: Year Level Block Remarks:
SUBJECTS UNITS DAYS TIME ROOM FEES
Tuition Fee per unit
Registration
Computer Fee
Internet Fee
Energy Fee
Library Ffee
Laboratory Fee
Development Fee
Cultural Fee
Guidance Fee
Handbook Fee
Medical/Dental
School ID
NSTP/ROTC
Assessed by:__________________________________ _______________________________________
Student Signature
Approved by:______________________________________ ____________________________
Dean/ Representative Registrar
Date Enrolled:___________
SCHOOL ACCOUNTING COPY
SCHOOL ACCOUNTING UNIT'S COPY
SCHOOL ACCOUNTING UNIT'S COPY
Student's Local Address:
__________________________________________________________________________
Check one [ ] Boarding House
[ ] With Family
[ ] with Relatives
____________________________________________________________________________
Name of boarding house operator (if living in a boading house)
____________________________________________________________________________
______________________________________
Signature of Student
Student's Name: _____________________________________________________________
Surname Given Name Middle Name
_____________________________________________________________
Course & Year Sem. School Year
Period Cov. Date Amount Due O.R. No. DR CR Balance
Entrance
Perelims
Mid-term
Pre-finals
Finals
Total
Republic of the Philippines
COMMISSION ON HIGHER EDUCATION
Region V
1x1
BACACAY COMMUNITY COLLEGE Picture
San Pedro, Bacacay, Albay
OFFICE OF THE REGISTRAR
DROPPING FORM
Surname First Name Middle Name
Semester: Student ID No. New Old Cross- Enrollee Transferee
Course: Year Level Block Remarks:
SUBJECTS UNITS DAYS TIME ROOM REMARKS
Understanding The Self 3
Readings in Philippine History 3 REMARKS+I17:K31
The Contemporary World 3
Gender and Society with Indigenous People Studies an 3
Introduction to Computer 3
Entrepreneurial Behavior 3
Movement Competency Training 2
CWTS/LTS/ROTC 3
Assessed by:__________________________________ _______________________________________
Student Signature
Approved by:______________________________________ CHERYLL B. VILLALON
Dean/ Representative Registrar
Date Enrolled:___________
SCHOOL ACCOUNTING COPY
SCHOOL ACCOUNTING UNIT'S COPY
Student's Local Address:
__________________________________________________________________________
Check one [ ] Boarding House
[ ] With Family
[ ] with Relatives
____________________________________________________________________________
Name of boarding house operator (if living in a boading house)
____________________________________________________________________________
______________________________________
Signature of Student
Student's Name: _____________________________________________________________
Surname Given Name Middle Name
_____________________________________________________________
Course & Year Sem. School Year
Period Cov. Date Amount Due O.R. No. DR CR Balance
Entrance
Perelims
Mid-term
Pre-finals
Finals
Total
