Name : MORENO, KRISHA LOUISE Student No.

: 2015-0848-MN
Course : Bachelor of Science in Nursing Year Level : Second Year
Status : Continuing (Regular) (9 Unit(s) Allowed) Section : C
School Year : 2016-17 Semester : Summer
STFAP : BR06 Citizenship : Filipino

Statement of Account
# Subject Code Description Lec Lab Cred. Units Time Day Room Instructor
ICT 101;
ICT 101;
1 ENG 103 Speech Communication 3 0 3 01:00 PM-04:00 PM MTWTHF ICT 101; MORGA, CYNTHIA L.
ICT 101;
ICT 101
NB 201;
NB 201;
2 NUR 207A Health Education 3 0 3 04:00 PM-07:00 PM MTWTHF NB 201; TBA
NB 201;
NB 201
ICT 206;
ICT 206;
ICT 206;
ICT 206;
07:00 AM-09:00 AM;09:00 AM- ICT 206;
3 NUR 208C Nursing Informatics 2 1 3 MTWTHF TBA
12:00 PM ICT 206;
ICT 206;
ICT 206;
ICT 206;
ICT 206
TOTAL 9/(0)
Tuition Fee TOTAL TUITION &
Academic (9 Units)
Administrative Fees
1,530.00 FEES Php 4,150.00
LIBRARY FEE 500.00
Mode of Payment Full Payment
MEDICAL / DENTAL 100.00
Total Administrative 600.00 Full Payment 4,150.00
Supplemental Fees
AUDIO VISUAL 350.00
DEPARTMENT FEE
Total Supplemental
150.00
500.00
Amount Due Php 4,150.00
Other Fees
MATRICULATION 110.00
Grand Total Php 4,150.00
COMPUTER LABORATORY 1,410.00
Total Others 1,520.00

Payment Instructions:

You can pay your account in any SM Payment Centers located at SM branches and SM Hypermarkets in Iloilo City from 10am to 7pm, Monday-Sunday within the validity period indicated in
this statement. SM will no longer accept payments after the validity period. You can pay your balances after the validity period at the University Cashier's office.
Payment made through SM Payment Centers will be posted in your IUIS account within 3-5 days from date of payment. Acknowledgement Receipt issued by SM serves as provisional receipt.
You can claim your Official Receipt at the University Cashier's Office by presenting your SM Acknowledgement Receipt 3-4 weeks after enrolment. Deficiencies in your payments or additional
assessments, if any, as a result of late payment, enrolment of additional subjects, subject changing will be reflected in your IUIS account payable before the semester ends. Kindly check your
balances in the IUIS account from time to time.
Previous balance must be paid in full. If student has previous balance but SM erroneously receives payment for current semester only, such payment will applied to previous balance.

Note: Alteration(s) in the system printout of the statement of account (SOA) constitutes computer forgery, a criminal act punishable under Sec 4 b.1 (i) of RA 10175 - Cybercrime Prevention Act of 2012.
Any payment if determined to have been made using an altered/tampered SA shall be forfeited in favor of the government. The student payee shall be held liable with the appropriate disciplinary action,
expulsion or both without prejudice to any further court proceedings arising from such act.
Conditions for Official Enrolment: (1) Student has paid the minimum payment for the current semester. (2) All prior semester balances are paid in full. (3) For students with full scholarships
(school fees are 100% covered by scholarship)-scholarship is tagged at the OSA and credited at the Cashiers' office (4) For students with partial scholarships (school fees are not 100% covered by
scholarship)-scholarship is tagged at the OSA, credited at the Cashiers' office and student has paid his/her personal share. (5) Student's name must be in the Official Class list generated from the IUIS.
For inquiries, call 3200870 Local 1116.
STUDENT'S COPY

PAYMENT SLIP
West Visayas State University
Luna St., La Paz, Iloilo City
Statement of Account
School Year 1617 Statement Date April 17, 2017
Semester Summer Statement Validity April 19, 2017
Student No. 2015-0848-MN Late Registration Starts at April 18, 2017
Student Name MORENO, KRISHA LOUISE
Payment (With Fine) if payment is made after April 17,
Payment (Without Fine)
2017
Current Sem. (1617, Summer)
4,150.00 4,150.00
(Full Payment)
Late Penalty Charge 50.00
TOTAL AMOUNT DUE (PhP) 4,150.00 4,200.00
13-0411 Thank you for your payment.