TR-ESOS03 s.

2020

CERTIFICATION OF REGISTRATION
Special Health Sciences Senior High School (Bridging Program)
Temporary ID No. NAME (Family) (Given) (Middle)

Address Course

Term (Encircle) School Year

FEES
1st 2nd 3rd SUM/Inter Sem S.Y. _____-_____ Grade Level/Section: _____________________
SUBJECTS UNIT/S Tuition ............................. P _______________
R.L.E. ................................ _______________
Laboratory ...................... _______________
Computer Lab ................. _______________
Registration ..................... _______________
Library .............................. _______________
Medical/Dental .................. _______________
Athletic ........... .................. _______________
Guidance............................. _______________
Developmental ................... _______________
Publication .......................... _______________
Affiliation ............................. _______________
SSCF ..................................... _______________
Insurance ............................. _______________
I.D. ....................................... _______________
PRISSAA ............................... _______________
CMT .................................... _______________
Recollection ........................ _______________
Date: Trust Fund ........................... _______________
POLCA .................................. _______________
Miscellaneous ...................... _______________
TOTAL FEES ................................ P _________
STUDENT'S COPY

TR-ESOS03 s.2020

CERTIFICATION OF REGISTRATION
Special Health Sciences Senior High School (Bridging Program)
Temporary ID No. NAME (Family) (Given) (Middle)

Address Course

Term (Encircle) School Year

FEES
1st 2nd 3rd SUM/Inter Sem S.Y. _____-_____ Grade Level/Section: _____________________
SUBJECTS UNIT/S Tuition ............................. P _______________
R.L.E. ................................ _______________
Laboratory ...................... _______________
Computer Lab ................. _______________
Registration ..................... _______________
Library .............................. _______________
Medical/Dental .................. _______________
Athletic ........... .................. _______________
Guidance............................. _______________
Developmental ................... _______________
Publication .......................... _______________
Affiliation ............................. _______________
SSCF ..................................... _______________
Insurance ............................. _______________
I.D. ....................................... _______________
PRISSAA ............................... _______________
CMT .................................... _______________
Recollection ........................ _______________
Trust Fund ........................... _______________
POLCA .................................. _______________
Miscellaneous ...................... _______________
Date:
TOTAL FEES ................................ P _________

SHS COPY
 TR-ESOS03 s.2020

CERTIFICATION OF REGISTRATION
Special Health Sciences Senior High School (Bridging Program)
Temporary ID No. NAME (Family) (Given) (Middle)

Address Course

Term (Encircle) School Year

FEES
1st 2nd 3rd SUM/Inter Sem S.Y. _____-_____ Grade Level/Section: _____________________
SUBJECTS UNIT/S Tuition ............................. P _______________
R.L.E. ................................ _______________
Laboratory ...................... _______________
Computer Lab ................. _______________
Registration ..................... _______________
Library .............................. _______________
Medical/Dental .................. _______________
Athletic ........... .................. _______________
Guidance............................. _______________
Developmental ................... _______________
Publication .......................... _______________
Affiliation ............................. _______________
SSCF ..................................... _______________
Insurance ............................. _______________
I.D. ....................................... _______________
PRISSAA ............................... _______________
CMT .................................... _______________
Recollection ........................ _______________
Trust Fund ........................... _______________
POLCA .................................. _______________
Miscellaneous ...................... _______________
Date:
TOTAL FEES ................................ P _________

REGISTRAR'S COPY

TR-ESOS03 s.2020

CERTIFICATION OF REGISTRATION
Special Health Sciences Senior High School (Bridging Program)
Temporary ID No. NAME (Family) (Given) (Middle)

Address Course

Term (Encircle) School Year

FEES
1st 2nd 3rd SUM/Inter Sem S.Y. _____-_____ Grade Level/Section: _____________________
SUBJECTS UNIT/S Tuition ............................. P _______________
R.L.E. ................................ _______________
Laboratory ...................... _______________
Computer Lab ................. _______________
Registration ..................... _______________
Library .............................. _______________
Medical/Dental .................. _______________
Athletic ........... .................. _______________
Guidance............................. _______________
Developmental ................... _______________
Publication .......................... _______________
Affiliation ............................. _______________
SSCF ..................................... _______________
Insurance ............................. _______________
I.D. ....................................... _______________
PRISSAA ............................... _______________
CMT .................................... _______________
Recollection ........................ _______________
Trust Fund ........................... _______________
POLCA .................................. _______________
Miscellaneous ...................... _______________
Date:
TOTAL FEES ................................ P _________

CASHIER'S COPY