Unit 2, 4th Floor, España Place building, 1139 Adelina Street Corner España Boulevard, Sampaloc

Manila (Beside UST near Morayta Street)

(02) 241-4830 / 09228988626 / 09159626844

2019 ADVANCE BAR REVIEW

January 6, 2019
Review University for Nurses
(R.U.N)
311 Ruiloba Street,
Sta. Mesa, Manila 2x2

REGISTRATION FORM
(Please write in PRINTED FORM)
ID NO.:
NAME:
(Surname) (First Name) (Middle Initial)
GENDER: BIRTHDATE:
ADDRESS: CEL.
NO.: EMAIL ADD:
Please check:
Student SCHOOL: YR Graduated:
Non-student OFFICE:
EMPLOYMENT/WORK DESIGNATION:

PACKAGE/PROGRAM AVAILED:
Please check:
New Applicant Repeater Refresher

PAYMENT MODE:
- CASH – (received by/date)
- CHECK – (bank/check no/date)
- DEPOSIT – (attached deposit slip)

DISCOUNT AVAILED:

NOTE:
-Please submit Two (2) 2x2 picture
-Enrollment is non-transferrable and non-refundable.
-Enrollment is valid only for the Review program availed.
-Schedules are subject to change without prior notice.
-For Check payments – please issue check to “CHRISTIAN G. VILLASIS”
-For Bank Deposits – kindly deposit to our BDO Acct. No. 008860011944/BDO Acct Name: CHRISTIAN G. VILLASIS
-For Online enrollment, please email the duly accomplished form with your bank deposit slip to villasislawcenter@gmail.com
I have read and understand this form, and I accept and agree to all of its terms and conditions.