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REGISTRATION NO.

201910130131
UNIVERSITY OF THE PHILIPPINES OPEN UNIVERSITY
UP FORM 5. CERTIFICATE OF REGISTRATION ENROLLED
STUDENT NO.: NAME:
2019-30891 PAGAYAWAN, FAHMIE REPORS SEX: CITIZENSHIP: CIVIL STATUS:
Male Filipino Single
TERM: ACADEMIC CAREER: PROGRAM/MAJOR:
1st Semester 2019-2020 Graduate Diploma in Land Use Planning
PAYMENT DETAILS:
LEARNING CENTER: FACULTY: BATCH:
PNB 8,460.00
LOCAL FMDS 2019-1 Paid thru: OR No./Ref. No. Date Amount Paid

COURSE/SUBJECT UNITS ITEM AMOUNT

P201 Fundamentals and Practice of Planning 3.00 Tuition Fee 6,000.00


P299 Research Methods in Planning 3.00 Energy 250.00
TOTAL NUMBER OF UNITS 6.00 Library Fee 1,100.00
******** Nothing follows ******** Entrance Fee 30.00
Registration Fee 40.00
ID 130.00
Technology Fee 610.00
Deposit 100.00
Inst. Materials Fee 200.00
PHILIPPINE HOME ADDRESS:
TOTAL FEES 8,460.00
Maganding Picong, Lanao del Sur 9100
TEL. NO.: 09265805696  E-MAIL: pagayawan.fahmie@yahoo.com
Less: Scholarship/Privilege 0.00
PHILIPPINE OFFICE ADDRESS:
DSWD10
abellanosa Cagayan de Oro,Misamis Oriental 9000
TEL. NO.: Less: Tuition Subsidy 0.00

FOREIGN HOME ADDRESS:


, Less: Other School Fees Subsidy 0.00
TEL. NO.:

FOREIGN OFFICE ADDRESS: Less: Loan 0.00

TEL. NO.: AMOUNT PAYABLE 8,460.00

Student Pledge: Assent

I hereby certify that all information given above are correct. I have read the University of the Philippines' Privacy Notice for Students.
In consideration of my admisstion to the University of the Philippines and of the privileges of a I understand that for the UP System to carry out its mandate under the 1987
student in this institution, I hereby promise and pledge to abide by and comply with all the rules and Constitution, the UP Charter, and other laws, the University must necessarily process
regulations laid down by competent authority in the University and in the College in which I am my personal and sensitive information.
enrolled. Therefore, I recognize the authority of the University of the Philippines to process my
personal and sensitive information, pursuant to the UP Privacy Notice and applicable
laws.

Date: September 3, 2019 sgd. PAGAYAWAN, FAHMIE REPORS

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