Scribd Logo
Upload

Welcome to Scribd!

  • 498 views

    CHED TDP Application Form

    Uploaded by

    Ivana Joyce Villalobos
    This document is an application form for the CHED Tulong Dunong Program (CHED-TDP). It requests personal information from applicants such as name, birthdate, address, contact details, family background, and school information. It outlines the general qualification requirements to apply including being a Filipino citizen, high school graduate, and having a combined annual family income not exceeding 400,000 pesos. It also lists the documentary requirements needed such as academic records, income documents, and ID photos. The form is to be filled out in full with all required information and qualifications met to apply for the CHED scholarship program.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    CHED TDP Application Form

    Uploaded by

    Ivana Joyce Villalobos
    498 views1 page
    This document is an application form for the CHED Tulong Dunong Program (CHED-TDP). It requests personal information from applicants such as name, birthdate, address, contact details, family background, and school information. It outlines the general qualification requirements to apply including being a Filipino citizen, high school graduate, and having a combined annual family income not exceeding 400,000 pesos. It also lists the documentary requirements needed such as academic records, income documents, and ID photos. The form is to be filled out in full with all required information and qualifications met to apply for the CHED scholarship program.

    Original Title

    CHED TDP Application Form (2) (2)

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is an application form for the CHED Tulong Dunong Program (CHED-TDP). It requests personal information from applicants such as name, birthdate, address, contact details, family background, and school information. It outlines the general qualification requirements to apply including being a Filipino citizen, high school graduate, and having a combined annual family income not exceeding 400,000 pesos. It also lists the documentary requirements needed such as academic records, income documents, and ID photos. The form is to be filled out in full with all required information and qualifications met to apply for the CHED scholarship program.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    498 views1 page

    CHED TDP Application Form

    Uploaded by

    Ivana Joyce Villalobos
    This document is an application form for the CHED Tulong Dunong Program (CHED-TDP). It requests personal information from applicants such as name, birthdate, address, contact details, family background, and school information. It outlines the general qualification requirements to apply including being a Filipino citizen, high school graduate, and having a combined annual family income not exceeding 400,000 pesos. It also lists the documentary requirements needed such as academic records, income documents, and ID photos. The form is to be filled out in full with all required information and qualifications met to apply for the CHED scholarship program.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    CHED-TDP Form

    ANNEX "A"
    2019 version (NOT FOR SALE)
    Office of the President of the Philippines
    COMMISSION ON HIGHER EDUCATION
    REGIONAL OFFICE ____
    2X2
    ID PICTURE

    CHED TULONG DUNONG PROGRAM (CHED-TDP)


    APPLICATION FORM

    Instructions: Read General and Documentary Requirements. Fill in all the required information. Do not leave an item blank. If item is not applicable, indicate "N/A".

    GENERAL QUALIFICATION REQUIREMENTS per Section 6 of the Joint Memorandum DOCUMENTARY REQUIREMENTS per Section 7.2 of the Joint Memorandum
    Circular No. ___ Circular No.____
    Academic Requirements:
    1 Filipino citizen; a. For Incoming Freshmen students eligible for college – high school report card;
    2 High school graduates; or college students with earned units in CHED-recognized programs of Private b. For Applicants with Earned Units in college in CHED-recognized programs of Private HEIs and
    SUCs/LUCs with COPC – duly certified true copy of grades for the latest semester/term attended
    HEIs, SUCs or LUCs with COPC with at least a passing general weighted average (GWA); or passer of
    3 With combined annual gross income of parents/guardian which shall not exceed Four Hundred Thousand c. For Other Applicants:
    Pesos (PhP400,000.00). ALS - duly certified copy of ALS Accreditation and Equivalency Test Passer Certificate; and
    PEPT - duly certified copy of PEPT Certificate of Advancing to the Next Level
    Income Requirements - whichever is applicable :
    NOTE: Applicant shall not avail of any national government-funded assistance, except for Free Higher Latest Income Tax Return and Bureau of Internal Revenue Form 2316 for fixed income earners of
    parents/guardian, if employed; Certificate of Tax Exemption from the BIR of parents/guardian, if not employed;
    Education in SUCs and LUCs under RA 10931, the “UAQTE Act of 2017.” Certificate of Indigence from the Barangay concerned; Certificate of Indigence/Case Study from the Department of
    Social Welfare and Development; or Latest copy of contract or proof of income, for the children of Overseas
    Filipino Workers and seafarers.

    PERSONAL INFORMATION

    VILLALOBOS IVANA JOYCE LORIO


    1. Name
    (Extension
    (Last Name) (First Name) (Middle Name)
    Name)
    2. Date of Birth (mm/dd/yy) JULY 14 , 2001 9. Permanent Address BRGY. SANTOL BALAYAN, BATANGAS
    (Street/Brgy., Town/City, Province)
    3. Place of Birth BALAYAN, BATANGAS
    4. Sex  Male  Female 10. Zip Code 4213 11. District 1ST
     Single  Widowed
    9. Permanent Address
    (Street/Brgy., Town/City, Province)
    5. Civil Status  Married  Separated

     Annulled  Others 10. Zip Code 4213 11. District 1ST


    6. Citizenship FILIPINO 11. Name of School Last Attended BATANGAS STATE UNIVERSITY, ALANGILAN CAMPUS
    09169528471 12. School Address
    7. Mobile Number GOLDEN COUNTRY HOMES
    8. E-mail Address [email protected] BRGY. ALANGILAN, BATANGAS CITY
    13. School Sector: ( )Public ( )Private 14. Learner Reference Number (LRN) 107248060028
    15. Highest Attained Grade (Year Level) 16. Type of Disability (if applicable)

    17. IP affiliation (if applicable)


    FAMILY BACKGROUND
    Father: ( ) Living ( )Deceased Mother: ( ) Living ( ) Deceased Legal Guardian

    18. Full Name (including middle name) PAULO PUJANTE VILLALOBOS EDDEILYN LORIO VILLALOBOS EDDEILYN LORIO VILLALOBOS

    19. Address BRGY. SANTOL BALAYAN, BATANGAS BRGY. SANTOL BALAYAN, BATANGAS BRGY. SANTOL BALAYAN, BATANGAS
    20. Contact Number N/A 09757370353 09757370353

    21. Occupation N/A DOMESTIC HELPER DOMESTIC HELPER

    22. Name of Employer N/A N/A N/A

    23. Employer Address N/A N/A N/A

    24. Total Parents Annual Gross Income N/A 60,000 60,000

    25. Number of siblings FOUR


    26. School Intended to enroll or enrolled in: BATANGAS STATE UNIVERSITY, ALANGILAN CAMPUS
    27. School Address: GOLDEN COUNTRY HOMES, BRGY. ALANGILAN, BATANGAS CITY
    28. Type of School: ( ) Public ( ) Private
    29. Degree Program: BS ARCHITECTURE
    __________________________________________________________________
    Type Grantee Institution/Agency
    30. Are you enjoying other sources of educational/financial assistance? ( ) Yes or ( ) No If yes, please specify 1.____________ ____________________
    2.____________ ____________________
    I hereby certify that foregoing statements are true and correct. Any misinformation or witholding of information will automatically disqualify me from the CHED-Tulong Dunong Program. I am willing to refund
    the financial benefits received if such information is discovered after acceptance of the award.
    I hereby express my consent for the Commission on Higher Education to collect, record, organize, update or modify, retrieve, consult, use, consolidate, block, erase or destruct my personal data as part of
    my information. I hereby affirm my right to be informed, object to processing, access and rectify, suspend or withdraw my personal data and be indemnified in case of damages pursuant to the provisions of
    the Republic Act No. 10173 of the Philippines, Data Privacy Act of 2012 and its corresponding Implementing Rules and Regulations.

    VILLALOBOS, IVANA JOYCE L. 08 / 10 / 2021


    (Signature over Printed Name of Applicant) Date Accomplished
    Note: Fully accomplished form to be submitted to the CHEDRO
    DO NOT FILL-OUT THIS PORTION (FOR CHED USE ONLY)
    Documents Attached:
    Belongs to: (any of the following groups) 1. Academic
    dependent of solo parent ( ) Report Card ( ) Copy of Grades: Grade 11 or 1st semester of Grade 12
    senior citizens 2. Financial
    persons with disabilities please specify type of disability_________________ ( ) ITR ( ) Tax Exemption ( ) Certifcate of Indigency
    indigenous and ethnic peoples, please specify membership ____________________ ( ) Case Study DSWD ( ) OFW Contract
    3. Others
    ( ) Solo Parent ( ) Senior Citizen ( ) IPs ( ) PWD ( ) 4Ps
    Evaluated/Processed by:

    CHED StuFAP Coordinator

    You might also like