SOUTHERN MINDANAO COLLEGES

Pagadian City
5-Digit Number Series DSWD Househol No:
REGISTRAR'S COPY Household Income per Capita:
___ Semester/Summer SY 2020-2021 REGISTRATION NO.
E-Mail Address
Cousre: Yr: Major________________
ID NUMBER New:_______ Old:_________
Returnee:_____________ Transferee:_______________

Last Name First Name Middle Name Gender Civil Status Age Date Enrolled

Date of Birth Birth Place Religion Citizenship Contact #

Father:
Last Name Fisrt Name Middle Name Occupation Contact #
Mother
Last Name Fisrt Name Maiden Name Occupation Contact #
Home Address: Street: Brgy:
City/ Municipality: Zip Code: Province:
Guardian: ____________________ ________________________ ____________________ _________________
Name City Address Occupation Contact #
Primary Grades Completed: _______________________ Address _____________________ Year_________
Elementary Grades Completed: _ Address Year _
High School Completed: Address Year _
School Last Attended: Address Year _

SUBJECT TIME DAY ROOM UNITS GRADES REMARKS

______________ ______________ _______________________ __________ ______ ____________________
______________ ______________ _______________________ __________ ______ ____________________
______________ ______________ _______________________ __________ ______ ____________________
Total __________
Part Time (P) _____ Full Time (F) ______ New(1)_______ Graduating (2) _______ None (3) _____

ESYL YUKOYA-MONTEJO Ed.D VICTOR M. ASUELO JEREMIAS T. GAVENIA EDD ___________________

Dean, Graduate Studies DSA REGISTRAR Signature of Student
Cut
ENROLMENT PROCEDURE
Step 1 Registrar: a) Issuance of application for enrolment, prospectus, ID number and Evaluation of subjects regular and
transferee b) Submission of Credentials
A. FRESHMAN B. TRANSFEREE
1. Form 138-A High School Card 1. Certificate of Honorable dismissal
2. Certificate of Good Moral Character 2. Informative copy of Transcript of Record
3. NCAE 3. Certificate of Good Moral Character
4. Birth Certificate 4. Biirth Certificate (SECPA)
If the student cannot submit the required credentials, he/she is advised to see the Asst Registrar & sign a waiver for temporary enrolment.
C) 1. Valedictorian and Salutaturian submit two (2) copies of certification from the High School Principal
Step 2. Accounting: Payment for the Entrance Fee of P 600.00
Step 3. ROTC/CWTS: First Floor Lobby
Step 4. Get your schedule of Subjects from the following Enrollment Centers & have the same approved by the Dean.
COURSE ROOM NO. COURSE ROOM NO.
Ed.D / MAED/MPA/ MBA GSO BCS/BSBA/BSHRM 206
BSCE/BSGE/BSEE/BSECE/BSCpE 204 BS CRIMINOLOGY 209
BEED/BSED 205 BSBC/BSIT/BSIS/ACT 208
AB/BSSW 202 BSOA/AOA/GCC 206
Step 5. Dean of Student Affairs-issuance /validation of ID Card
Step 6. Registrar: Validation of study load by Course Incharge
Step 7. College dean/ Head for issuance of Print Out
Step 8. Registrar; Print out validation
Stepa.)
Note: 9. Accounting-issuance
Request for change ofofsubject
Statement of Accounts
will be entertained by the Registrar three days after the start of classes with fee of
P 50.00 per subject (except for dissolved subjects)
b.) no request for change and additional subjects will be entertained after the close of enrollment
c.)Close of enrolment is 1 week after the start of classes
 SOUTHERN MINDANAO COLLEGES
Pagadian City

TO WHOM IT MAY CONCERN:

I , years of age, single/ married and a resident of SIARE
SINDANGAN ZAMBOANGA DEL NORTE has duly recognized this ENROLMENT SLIP as a contract between me and
the SOUTHERN MINDANAO COLLEGES and as such this serves as my record in this school; that I agree not to
drop or change any subject appearing on this slip without due notice and approval of the Dean and the
Registrar. Otherwise, I bind myself to pay for any subject dropped or changed (without the notice or knowledge
of the Dean and Reagistrar's Office): that if I fail to submit my admission credentials within the required period
of time, I shall be considered as unofficially enrolled and thus all subjects I am taking will not be credited: that I
am agreeable to the rate of tuition and other school fees that are charged in the course I am enrolled that I am
not a member of a radical organization or group of persons who uphold and teach doctrines against our
government or defend or teach violence, personal assault or assasination for the success and performance of
man's ideas. I have read the rules and regulations of the SMC as specified in the Student Handbook, and that, I
hereby promise to abide by the school policies immediately upon my admission.

I am fully aware that this contractual relationship is renewable every semester. The college
reserves the right to renew or not the contract. Any infringement I have made to the rules and regulations of
the school is a ground for recession of this contract even before the expiration of the period.

________________________
(Student Signature)

DEAN'S COPY
REGISTRATION NO.
E-Mail Address
2ND_ Semester/Summer SY 2020-2021
Cousre______ MAED __ Yr_____Major
ID NUMBER
Returnee:_____________ Transferee:_______________

Last Name First Name Middle Name Gender Civil Status Age Date Enrolled

Date of Birth Birth Place Religion Citizenship Contact #

Father:
Last Name Fisrt Name Middle Name Occupation Contact #
Mother
Last Name Fisrt Name Maiden Name Occupation Contact #
Home Address: Street: Brgy: SIARE
City/ Municipality: Zip Code: Province:
Guardian:
Name City Address Occupation Contact #
Primary Grades Completed: _______________________ Address _____________________ Year_________
Elementary Grades Completed: Address: Year
High School Completed: Address: Year
School Last Attended: Address: Year

SUBJECT TIME DAY ROOM UNITS GRADES REMARKS

___________________________________________________ __________ ______ ____________________
___________________________________________________ __________ ______ ____________________
___________________________________________________ __________ ______ ____________________
Total __________
Part Time (P) _____ Full Time (F) ______ New(1)_______ Graduating (2) _______ None (3) _____

ESYL YUKOYA-MONTEJO Ed.D VICTOR M. ASUELO JEREMIAS T. GAVENIA Ed.D ___________________

Dean, Graduate Studies DSA REGISTRAR Signature of Student
ear

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