ApplicationFormCollege2019 2020
ApplicationFormCollege2019 2020
Modalities
- Full scholarship grant (full fees coverage and allowances (book, uniform, living)
- Partial scholarship grant (full tuition fee coverage)
Tytana reserves the right to assign the applicant to the different scholarship grants by
Tytana and its scholarship benefactors based on the qualifications and the need of the
applicant.
Qualifications
- Must be a Filipino citizen
- Must pass the Manila Tytana Colleges Admission Test
- Must have a general weighted average of at least 87%, or its equivalent
- Must have a combined gross family income of not more than P400,000 for a family of
four; or P100,000/capita if more than four in the family. This MAY be waived if the
applicant is an honor student.
- Must have substantial extra-curricular and leadership involvements
- Must be of good moral character
- Must not enjoy other scholarship grants or financial assistances
Submit the following documents together with the duly accomplished Scholarship
Application Form. The applicant must be the one to accomplish the form and affix
his/her signature with one of his/her parents or legal guardian. Write clearly on the
form using black ink only. Avoid erasures. Make sure to answer ALL ITEMS.
The scholarship benefactors might request for additional documents other than those
enumerated below.
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Checklist of documentary requirements:
o Application Form
o Parents’/Guardian’s detailed personal letter about the family’s financial situation justifying the
need for financial assistance. The letter must answer the questions: why the family needs
assistance, what are the sources of income of the family, what are the major expenses of the
family, why the applicant deserves to receive a grant.
o Two (2) pcs. of 2x2 (on white background) most recent photograph of applicant. Paste (do not
staple) one photo in the application form.
o Photograph of applicant with family/guardian. Print name at the back of the picture.
For employed parents: Most recent copy of Income Tax Return (ITR) or Certificate of
Compensation Payment/Tax; Certificate of Employment and Compensation (including bonuses,
allowances and commissions). Overseas Filipino Workers must submit copy of employment
contract.
For self-employed parents: Submit business permit, detailed description of business and latest
income and expenses financial statement.
For parents not filling an ITR: Please indicate in the letter the reason for non-filing. Provide
certified true copy of Certificate of Non-Filing from Bureau of Internal Revenue (BIR).
Siblings and other relatives currently helping out with the expenses of the family including
educational expenses may be required to submit the above-mentioned documents.
o Proof of latest electricity and water billing statements. If statement is registered under a different
name other than the applicant’s parent/guardian, include a certification letter from property owner.
o Two (2) letters of recommendation from teacher. Form is enclosed in the application form.
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FOR TYTANA’S USE ONLY:
Result of MTCAT : CFIT ___ Total ___ | E ___ M ___ S ___ GI ___
Initial Interview
a. High school grade : Grade 11 _____ Grade 12 _____
b. Grade 11 honors : ________________________________________
c. 2017/8 Total Annual Family Gross Income : _____________________________________
d. Water and electricity bill : __________ __________
Assessed by : ________________________________________
Pending Documents : ________________________________________
Schedule of FI : ____________________
Result of FI : ____________________
Final Result : ____________________ Grant _________________________
Instruction: The applicant must be the one to accomplish the form and affix his/her signature with
one of his/her parents or legal guardian. Write clearly on the form using black ink only. Avoid
erasures. Make sure to answer ALL ITEMS. Answer this questionnaire carefully, completely and
honestly. Parents may be called for interview for clarification of the information given.
Name
Name of
High School
Address of
High School
Type of School ___ Public General
___ Public Special (science, arts)
___ Laboratory of SUC
___ Private Sectarian
___ Private Non-Sectarian
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LETTER OF UNDERTAKING
Date: ____________________
This is to formally signify my intention to apply for a scholarship grant in Manila Tytana
Colleges. I understand that I have to undergo the complete process including the submission of
all documentary requirements for my application to be considered.
I agree to submit myself to the criteria established by the Tytana Student Welfare and
Development Department or its partner grantors in the selection of qualified and deserving
candidates and its procedures in the processing of my application. I understand that the
decision of the Selection Committee is final and unappealable.
Respectfully yours,
__________________________________
Signature over Printed Name of Applicant
__________________________________
Signature over Printed Name of Parent/Guardian
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DATA PRIVACY CONSENT FORM
Dear Applicant:
In the course of your application process with the Manila Tytana Colleges and its scholarship
partners (together, “Tytana”) for the SY 2019-2020 Tytana Scholarship Program, Tytana has
collected or obtained, and will obtain or collect from time to time, personal data from you or in
relation to you (“Personal Data”). Please note that your Personal Data has been or will be
collected, processed, used and stored for purposes directly or indirectly relevant to your
application for scholarship. Your Personal Data may also be used for Tytana’s administration
and management of applicants and for compliance with applicable laws and regulations.
By signing and returning this Consent Form to Tytana, you confirm that you consent to the
collection, use, recording, storing, organizing, consolidation, updating, disclosure, transfer,
sharing and/or general processing of your Personal Data by Tytana as stated above and you
undertake in turn to help Tytana to observe the requirements of the Data Privacy Act of the
Philippines (Republic Act No. 10173), its implementing rules and regulations and other relevant
issuances of the National Privacy Commission. The permission you are granting to Tytana shall
be effective immediately and shall continue for a period of one (1) year from the date of this
consent form or until graduation from Tytana for those who will be approved in the program (the
“Permission Period), unless you inform us in writing of your decision to revoke your permission
prior to the end of the Permission Period, in which case, Tytana shall immediately cease from
collecting, using, recording, storing, organizing, consolidation, updating, disclosure, transfer,
sharing and/or general processing of your Personal Data.
Should you have questions regarding the privacy policy you may contact our Data Privacy
Officer at (02) 859-0834 or email at [email protected].
Consent:
I hereby consent to the collection, use, recording, storing, organizing, consolidation, updating,
disclosure, transfer, sharing and/or general processing of my Personal Data by Tytana in
accordance with the terms of this Personal Data Protection Statement for Applicants.
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I. PERSONAL DETAILS
Religion: ____________________
Write complete address including house number, street, barangay, municipality/city, province,
and zip code.
____________________________________________________________________________
___________________________________________________________________________
Write complete address including house number, street, barangay, municipality/city, province,
and zip code.
____________________________________________________________________________
___________________________________________________________________________
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II. EDUCATIONAL ATTAINMENT
-------------------------------------------------------------------------------------------------------------------------------
Amount of fees paid in senior year: PhP _______________
Did the applicant enjoy any form of scholarship or financial aid in secondary school? This
includes the ESC program of the government. ( ) Yes ( ) No
Is the applicant a working student? ( ) Yes, full time ( ) Yes, part time ( ) No
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II-A. Academic Performance
This portion should be accomplished by the adviser and guidance counselor, and certified by
the principal.
II-B. Character
This is to certify that the applicant has consistently maintained good moral character, there
having no disciplinary action taken against him/her as of the date of application.
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III. FAMILY BACKGROUND
Permanent Address
(if different from
current address)
Contact Number
Highest Educational
Attainment
School
Living Abroad?
Yes or No
If employed
Employer
Address
Position
Previous Year’s
Gross Income
If self-employed
Nature of work
Number of years in
business
Previous Year’s
Gross Income
If unemployed
Last company joined
When
Reason for being
unemployed
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If the applicant is not living with parents
Siblings
Does any of the applicant’s siblings contribute to the family’s expenses? ( ) Yes ( ) No
Who contributes? ____________________ If yes, is the contribution regular? ( ) Yes ( ) No
What is the frequency of the contribution? ( ) 1x a month ( ) 2x a month ( ) Others: _________
How much is the average contribution? PhP_______________
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Relatives
Does the applicant have any relatives (whether in the Philippines or abroad) who contribute to
the family’s expenses? ( ) Yes ( ) No
Household companions
Does the applicant have any house companions other than parents and siblings? ( ) Yes ( ) No
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IV. HOUSEHOLD ECONOMIC BACKGROUND
Others (Specify)
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FAMILY EXPENSES (Annual)
School Tuition and Fees PhP
Withholding Tax
SSS/GSIS/PAG-IBIG Contribution
Insurance, Plans (per Year)
Others (specify)
Sub-total PhP
Total Annual Expenses (Monthly + Annual) PhP
If annual expenses is higher than annual income, please explain how you cover for the deficit.
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
___________________________________________________________________________
What are the sources of income of the household? Please check all applicable items.
( ) Salaries or wages ( ) Commissions ( ) Remittances from abroad
( ) Practice of profession ( ) Business ( ) Real estate rentals
( ) Retirement pension ( ) Others: __________________________________
Does any member of the family household have credit cards? ( ) Yes ( ) No
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References
Immediate and extended family are not allowed to be used as reference. Preferred persons are
high school teacher, guidance counselor/principal, or family friend.
2.
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V. VICINITY MAP
Draw a map that shows how to get from your residence to Tytana. State landmarks and names
of major streets and use an “X” to indicate your house in the map.
We hereby certify that all the information and documents submitted are accurate and complete.
We understand that any misinformation and/or withholding of information will automatically
disqualify the undersigned applicant from receiving any financial assistance, or subsidy, and
may serve as a basis for the cancellation of the scholarship grant that may be awarded by the
College. Furthermore, if such misinformation and/ or withholding of information on our
part is discovered after the Tytana Scholarship Grant has been awarded, it is to our
knowledge that we will be required to reimburse full amount received thru the
scholarship grant without prejudice to the filing of charges against us.
____________________________________ _________________________________
Signature over Printed Name of Applicant Signature over Printed Name of Parent
Date Date
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VII. RECOMMENDATION FORM
Instructions to the applicant: Please fill out the entries on the upper half of the form. The
applicant must submit two (2) recommendations from any one of the following
(preferably the one who knows you best) – (a) SHS teacher/adviser, (b) SHS guidance
counselor, (c) SHS principal.
************************************************************************************************************
To be filled out by the SHS teacher/adviser, SHS guidance counselor, or SHS principal
The student whose name appears above is applying for Scholarship at Manila Tytana Colleges.
To help the College evaluate the qualifications of the applicant, kindly answer the items below
as sincerely as possible.
Do you have enough information about the applicant’s family to say that they will not be able to
send him/her to Tytana without scholarship? ___ Yes ___ No
Will the applicant’s family be able to send him/her to Tytana even without scholarship?
___ Yes ___ No
Please use the portion below in case you have any comments about the applicant’s
qualifications for financial assistance or academic ability. Use back portion if necessary.
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Please return this appraisal to the applicant in a sealed envelope with your signature across the
seal.
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