IRS CPA REVIEW

Leganes Branch: Cagamutan Norte, Leganes, Iloilo

Iloilo City Branch: 3rd Fl.r Lolita Bldg., Cor. Quezon - Gen. Luna Sts., Iloilo City
Tel. Nos.: (033) 3962291; (033) 3379798; Telefax: (033) 5248081
MOBILE# : 0998-5349218

NOTE : This form is for individual reservation only.

IRS CPA Review School Branch : _____________________

NAME : (LN,FN,MI) YEAR GRADUATED :

SCHOOL :
BOARD EXAM:
SCHOOL ADDRESS : (OCT./MAY) & YEAR

CONTACT NUMBER : GENDER :

DATE OF DEPOSIT (EMAIL)/
DEAN/CHAIRMAN : PAYMENT(WALK-INS)
Leganes Branch only:
EMAIL ADD. OF DEAN Amount Deposited
NAME OF Lolita & Leganes Walk-ins :
PARENT/GUARDIAN Amount and OR number :
Dorm Reservation : Good for :
CONTACT NUMBER OF ______1 ______3
PARENT/GUARDIAN: ______2 ______4
* Dormitory : For OCTOBER Batch, there will be an overlapping of rooms for 2-3 weeks because of the outgoing batch.
**Deposit slip must have your name(handwritten).

DOCUMENTS TO SUBMIT ON THE FIRST DAY OF CLASSES :

FOR OCTOBER BOARD EXAMINATIONS REVIEW : FOR MAY BOARD EXAMINATIONS REVIEW
1.Certification of Graduation from the Registrar / 1.Photocopy of transcript of records
Dean / Chairman. 2. Photocopy of school ID
2. Photocopy of school ID 3. Original deposit slip (if applicable)
3. Original deposit slip (if applicable) 4. Original Registrar’s Certification for Latin honor awardees
4. Original Registrar’s Certification for Latin honor 5. 2pcs (2x2) picture
awardees
5. 2pcs (2x2) picture

FOR DEPOSITS ONLY (LEGANES BRANCH) :

SCANNED/PHOTO : PASTE HERE

Write your name on the deposit slip before scanning/photo.

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FOR IRS PERSONNEL ONLY :

REVIEWEE NUMBER : ___________________

SEAT NO. ________ ENCODED : __________

TUITION RATE : __________________________
DORM ROOM : __________________________
DORM RATE : __________________________ RF PRINTED : ___________