UNIVERSITY OF SOUTHERN CALIFORNIA STATEMENT OF ACCOUNT http://www.usc.

edu/sfs
Current Address
Ms. Zahratu Shabrina Batununggal Indah Viii/32 Bandung, West Java 40266 Indonesia USC ID NUMBER: XXXXXX2086

1168939

Account Summary
DUE DATE 10/28/2011 AMOUNT DUE -17,575.00 AMOUNT PAID

TO AVOID ADDITIONAL PERIODIC FINANCE CHARGES, PAYMENT OF THE NEW BALANCE MUST BE RECEIVED AND POSTED BY THE DUE DATE. IN ADDITION TO THE MONTHLY FINANCE CHARGE, THE UNIVERSITY MAY ASSESS LATE FEES.

HAS YOUR ADDRESS CHANGED? SEE LAST PAGE. ------------------------------------------------------------------------------------------------------------------------------------------------------------------INCLUDE THIS PAYMENT COUPON IF MAILING YOUR PAYMENT. KEEP THE STATEMENT BELOW FOR YOUR RECORDS.

1168939 USC ID NUMBER: XXXXXX2086 NAME: Shabrina, Zahratu

PREV. AMT DUE .00 PAYMENT/CREDITS 35,753.13 = SUBTOTAL 0 +

STATEMENT DATE: BILLING PERIOD:

CURRENT CHARGES 18,178.13 =

09/24/2011 08/21/2011 TO 09/24/2011

AMT DUE -17,575.00 DEFERMENT BALANCE .00

TRANS. DATE

DESCRIPTION OF TRANSACTION
PREVIOUS AMOUNT DUE: Current charges, Payments/Credits

CHARGES

PYMTS/CREDITS
.00

08/22/2011 08/22/2011 08/22/2011 08/22/2011 08/22/2011 08/22/2011 08/22/2011 08/22/2011 08/22/2011 08/22/2011 08/27/2011 09/03/2011

Late Registration Fee - Fa2011 GR NewStud Orient Pubs/Progs Fa2011 N. Topping Student Aid Fund Fa2011 GRAD Student Programming Fee Fa2011 Student Health Center - Fa2011 GRAD Student Services Fee Fa2011 Student Health Insurance Fa2011 Graduate Tuition - Unit Rate Fa2011 GR Special Tuition Unit Rate Fa2011 Tuition Refund Insurance Fa2011 Late Settlement Fee - Fa2011 Late Settlement Fee - Fa2011

100.00 35.00 8.00 35.50 244.00 12.50 451.00 11,360.00 5,680.00 52.13 100.00 100.00

PLEASE READ THE LAST PAGE FOR IMPORTANT INFORMATION AND TELEPHONE NUMBERS. ANNUAL PERCENTAGE RATE: 12.0 IMPORTANT NEWS FINANCE CHARGE CALCULATION
SUBTOTAL SUBJECT TO FINANCE CHARGE 0 X MONTHLY RATE 1.0 % = FINANCE CHARGE .00

Continued on next page.

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UNIVERSITY OF SOUTHERN CALIFORNIA STATEMENT OF ACCOUNT http://www.usc.edu/sfs

Current Address
Ms. Zahratu Shabrina Batununggal Indah Viii/32 Bandung, West Java 40266 Indonesia USC ID NUMBER: XXXXXX2086

1168939

Account Summary
DUE DATE 10/28/2011 AMOUNT DUE -17,575.00 AMOUNT PAID

TO AVOID ADDITIONAL PERIODIC FINANCE CHARGES, PAYMENT OF THE NEW BALANCE MUST BE RECEIVED AND POSTED BY THE DUE DATE. IN ADDITION TO THE MONTHLY FINANCE CHARGE, THE UNIVERSITY MAY ASSESS LATE FEES.

HAS YOUR ADDRESS CHANGED? SEE LAST PAGE. ------------------------------------------------------------------------------------------------------------------------------------------------------------------INCLUDE THIS PAYMENT COUPON IF MAILING YOUR PAYMENT. KEEP THE STATEMENT BELOW FOR YOUR RECORDS.

1168939 USC ID NUMBER: XXXXXX2086 NAME: Shabrina, Zahratu

PREV. AMT DUE .00 PAYMENT/CREDITS 35,753.13 = SUBTOTAL 0 +

STATEMENT DATE: BILLING PERIOD:

CURRENT CHARGES 18,178.13 =

09/24/2011 08/21/2011 TO 09/24/2011

AMT DUE -17,575.00 DEFERMENT BALANCE .00

TRANS. DATE

DESCRIPTION OF TRANSACTION
PREVIOUS AMOUNT DUE: Current charges, Payments/Credits

CHARGES

PYMTS/CREDITS
.00

09/07/2011 09/21/2011 09/21/2011

WEB Check Payment - Thank You Sponsored Agency Defer Prgm Fa2011 Late Fee Adj. Cashiers Fa2011

18,178.13 17,375.00 200.00

PLEASE READ THE LAST PAGE FOR IMPORTANT INFORMATION AND TELEPHONE NUMBERS. ANNUAL PERCENTAGE RATE: 12.0 IMPORTANT NEWS FINANCE CHARGE CALCULATION
SUBTOTAL SUBJECT TO FINANCE CHARGE 0 X MONTHLY RATE 1.0 % = FINANCE CHARGE .00

Continued on next page.

Page 2 of 3

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MAKING PAYMENT
USC offers several ways to make payment. For more information, please visit our website at www.usc.edu/sfs/payopts. On-line (credit/debit cards and account transfers from U.S. financial institutions only) USCe.pay - our on-line student account service Students login through www.usc.edu/oasis or www.usc.edu/myusc. Guests visit www.usc.edu/epay and select your guest type. By Mail - Checks and Inquiries Only (Including Expedited/Overnight Payments) USC Cashier's Office 620 W. McCarthy Way Suite #21 Los Angeles, CA 90089 Please include your payment coupon (the top portion of the first page of your statement) and write your USC ID number on your check. Checks drawn on international bank accounts are subject to collection costs and delays. DO NOT MAIL cash, credit card authorizations, or address changes. In Person (cash, checks, credit cards) Please have your USCard with you for identification. University Park Campus Cashier's Office King Hall - 2nd Floor, KOH 200 Health Sciences Campus Health Sciences Cashier SRH 1969 Zonal Ave Suite 101B, SRH-101B By Wire Transfer USC's wire transfer fee of $12.50 must be added to the payment amount. Funds wired from outside the U.S. can take several weeks to arrive. Avoid late fees by sending well before payment deadline. Wired funds should be sent ONLY for university (or "USC") billed expenses. Any funds sent in excess of university billed expenses will be returned to the originating financial institution. Please refer to www.usc.edu/sfs/wires for additional information.

FINANCIAL OBLIGATION
Tuition and Fees for ALL students, including those whose tuition has been deferred, become an obligation in accordance with the provisions of the Drop/Refund Policy as explained in the Schedule of Classes for the term in question. This financial obligation is between the student and USC. Tuition and fees are due, in full, prior to the settlement deadline. Failure to make payment of any indebtedness to the USC when due, including, but not limited to, tuition, deferred tuition, housing, student loans, lab and special fees, is considered sufficient cause, until the debt is settled with USC to (1) bar the student from classes or examinations; (2) withhold diploma, scholastic certificate, or transcripts; (3) bar the student from University Housing; (4) suspend any and all university services and privileges; (5) suspend the student; (6) assign the account to a collection agency; and (7) report the student as delinquent to a credit bureau. This policy will be equally enforced against debts discharged through bankruptcy. USC may take any or all of these actions at its option. USC reserves the right to assess late settlement and/or late registration fees in addition to the monthly finance charge. The Schedule of Classes for a given term will detail the late fee policy and due dates for that term

CALCULATION OF FINANCE CHARGE

Your finance charge is calculated as the balance from your previous bill, less any payments made during the billing cycle, times the monthly periodic interest rate. The monthly periodic rate is 1/12 of the annual rate. The minimum finance charge is one dollar ($1.00). If you pay your bill in full each and every month by the payment due date you will not be assessed a finance charge. Only accounts with a previous unpaid balance will be assessed a finance charge. Any deferred balance is not subject to a finance charge. An account is considered delinquent if the full payment due is not received and posted to your account by 5:00 p.m. on the payment due date listed on the statement.

LATE FEES
Late fees may be assessed in addition to finance charges. See the Schedule of Classes for details. It is your responsibility to be sure any payments made arrive in time to be posted to your account before the due date. Please allow at least five (5) days for mail delivery. International, APO, and FPO should allow a longer time for delivery. By registering for classes, you agree that you have read and accept the late fee policy printed in the Schedule of Classes.

CUSTOMER SERVICE TELEPHONE NUMBERS

Cashier's Office Within Southern California (213) 740-7471 Outside Southern California (800) 225-1222 Collections (213) 740-9087 Financial Aid (213) 740-1111 Health Center (Insurance/Fee Information) University Park (213) 740-0551 Health Sciences Campus (323) 442-5989 Housing Within Southern California (213) 740-2546 Outside Southern California (800) 872-4632 Meal Plans (USCard) (213) 740-8709 Parking (213) 740-3575 Payment Plan (213) 740-4077 Registration (213) 740-8500 Student Affairs (213) 740-2421 Student Financial Services (213) 740-4077 USCard (213) 740-8709

BILLING INFORMATION
Email has been adopted as the primary mechanism for sending official communications to students at the University of Southern California. Students, therefore, must check email regularly in order to stay abreast of important messages and notifications. Failure to read official university communications sent to students0 official email addresses does not absolve students from knowing and complying with the content of official communications. In accordance with this policy, USC sends monthly billing notifications to each student0s official USC email address (ends in @usc.edu). USC also sends notifications to alternate emails provided on USCe.pay as well as to OASIS guests and designated USCe.pay guests. Students may forward their email from their official university email address to another email address of their choice. The university, however, is not responsible for email forwarded to another email address or mailed to alternate/guest email addresses. Printed statements are mailed to students who do not have an official USC email address or who have successfully appealed on the basis of a disability. Please visit www.usc.edu/sfs/bill for more information. As a service to our students, we may occasionally include with the printed billing statement information about products or services provided by someone other than USC. Emailed notifications may contain links to these products or services. This does not mean that you must use the product or service. If you have any questions about the information included with your statement, please contact the company providing the service or product directly.

SUMMARY OF FEDERAL BILLING RIGHTS

If you think that your bill is incorrect, or if you need more information about a particular transaction, write us on a separate sheet of paper as soon as possible at: USC Cashier's, 620 W. McCarthy Way, Ste. 21, Los Angeles, CA 90089. We must hear from you at this address no later than sixty (60) days after we send you the first bill on which the error or questioned transaction appeared. You may telephone our office, but doing so will not preserve your rights. In your letter, provide us with the following information: 1. Your name and USC ID number. 2. The dollar amount of the suspected error. 3. A description of the error and explanation of why you believe it to be an error. You are not required to pay the amount in question while we are investigating, but you are still obligated to pay the charges on your bill that are not in question. While we investigate your inquiry, we cannot report you as delinquent or take any action to collect the amount you question.

ADDRESS CHANGES
You may correct your address by logging in to your OASIS account. Visit www.usc.edu/sfs/addr for more information.

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