Scribd
Upload
48 views2 pages

Financial Assitance Program

Uploaded by

Kate Lyn
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
48 views2 pages

Financial Assitance Program

Uploaded by

Kate Lyn
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

Republic of the Philippines

OSDS/CHEDRO 9 Form Office of the President


COMMISSION ON HIGHER EDUCATION
Baliwasan Chico, Zamboanga City
Picture
Email Address: [email protected]

APPLICATION FORM FOR STUDENT


FINANCIAL ASSISTANCE PROGRAM
SY- 2024-2025
Instruction Action Taken

1. Print all entries Award No

2. Place X in the appropriate blank providedDate of Filing

3. Fill in the portions specified for the programs applied for Region

Province

SCHOLARSHIP
Full State Scholarship Program (Public School) Half-PESFA (Private School)
Half State Scholarship (Public School)
Full PESFA (Private School)

Received by Authorized Official

nnte Ignature
PERSONAL INFORMATION
Name:

(Last Name) (First Name) (Middle Name ) Age: Sex: Status: Religion: Citizenship:

Date of Birth: Place of Birth: Contact No.


Mailing Address .
E-Mail Address .

School name (High School):

School Address .

School Type ( ) Public School ( ) Private School ( ) Vocational


General Weighted Average: Date of Graduation: Rank in Class:

FAMILY BACKGROUND
Father. ( ) Living ( ) Deceased Mother: ( ) Living ( ) Deceased
Name:

Address:

Occupation:

Educt'l. Attainment:

Member of Pantawid Pamilya ( ) YES ( ) NO Children:

Tribe Membership (Ex. Subanen, Tausug etc.) Total Parents Gross Income (Php.

Brothers/Sisters Enjoying Scholarship: Cert. of Tax Exemption from BIR:


Name Scholarship Course & Year

School intended to enroll in:


Factor(s) that motivated you to choose your course:

Degree Program (Course) School


First Choice .
Second Choice .

Third Choice

SIGNED DECLARATION BY THE PARENTS 1 LEGAL GUARDIAN


l/We hereby certify to the truthfullness and completeness of information provided. Any misinformation of witholding information may
disqualify my/our child from CHED Scholarship program.

In connection with this application for financial aid, we hereby authorized CHED OSDS/CHEDRO 9 to conduct a
background check on the family finances as deemed necessary.

Applicant's Signature Over Printed Name Parent's or Guardian's Signature Over Printed Name

NOTE: Fully accomplished form to be uploaded and must enroll in priority course only
provided in CMO no. 10 S. 2023, otherwise said application maybe disapprove.

You might also like