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Aklan Polytechnic College
Founded 1987
Aklan Polytechnic College
Tatak APC: Disiplina - Kaalaman - Paglilingkod
ENROLLMENT
Form: CERTIFICATE OF ENROLLMENT
Fill up the information based on the student's input in the form.
Date
Student Number
Student's LRN
School Year
Semester
New or Old?
Type of Student
Last Name
First Name
Middle Name
-
Course
Date of Birth
Year
Age
Sex
School Year
Semester
-
Last School Year enrolled at APC:
Course
Year
Student Address:
Parent / Guardian:
Street
Barrio
City / Municipality
Province
Mobile Number
Last Name
First Name
Middle Name
Address:
Street
Barrio
City / Municipality
Province
Mobile Number
Schools Attended:
Elementary
Secondary
College (if any)
Public?
(don't check if PRIVATE)
Public?
(don't check if PRIVATE)
Credentials Submitted (check all applicable items) :
SUBJECTS:
No.
Subject Code
Description Title
Units
Section
1
2
3
4
5
6
10
11
12
13
14
15
Course Adviser
Approved by:
Dean/Principal
9
8
7
Student's Account:
Old Account (Php)
Payment Schedule
Assessment:
Tuition (Php)
Gen Fees (Php)
Lab Fees (Php)
NSTP (Php)
Others (Php)
On or Before Prelim Exam (Php)
On or Before Midterm Exam (Php)
On or Before Prefinal Exam (Php)
On or Before Final Exam (Php)
Approved by:
Total Amount (Php)
Assessed by
Dean/Principal
Registrar
Treasurer
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