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Application Form

This document is an application form for the Tulong Pang-Edukasyon Educational Assistance for the AY 2024–2025 2nd Semester. Applicants must complete an online form and submit various documentary requirements, including proof of enrollment and residency. The form also includes sections for personal and academic information, as well as a checklist of required documents.

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Asria Guiamalon
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19 views1 page

Application Form

This document is an application form for the Tulong Pang-Edukasyon Educational Assistance for the AY 2024–2025 2nd Semester. Applicants must complete an online form and submit various documentary requirements, including proof of enrollment and residency. The form also includes sections for personal and academic information, as well as a checklist of required documents.

Uploaded by

Asria Guiamalon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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IMPORTANT NOTE: Make sure that you have accomplished the online form at

! www.mohamadpaglas.com/TP-edukasyon/ before submitting this Application Form together with


other documentary requirements as specified below.

Hon. Mohamad “Tong” P. Paglas, Sr.


TULONG PANG-EDUKASYON
Educational Assistance

APPLICATION FORM

ALL FIELDS ARE MANDATORY! AY 2024–2025 2nd Semester


PERSONAL INFORMATION
Name of
Applicant Surname, First name, Middle name, Ext Name (Jr, II, III), if any Birthday (YYYY/MM/DD) Sex (M/F)
ADDRESS
Barangay: Municipality:
CONTACT INFORMATION
Mobile No.: E-mail Address:
VALID ID PRESENTED
Type of ID: ID Number:
ACADEMIC INFORMATION
Name of School
CHECKLIST OF REQUIREMENTS

Date applied online: ________________________

_____ (1) Application form [this form].


_____ (2) Proof of Enrollment for current school year and semester
Any of the following:
[ ] Validated School ID (bring original ID for validation and submit 2 photocopies) or
[ ] SOA/COE/COR (2 original)
_____ (3) Proof of Residency – any of the following valid government ID:
Voter’s ID/Cert of Voter’s Registration, Driver’s License, National ID/ePhilID, Passport
(bring original ID for validation and submit 2 photocopies)
_____ (4) Accomplished DSWD Form – General Intake Sheet (2 original)
_____ (5) Accomplished DSWD Form – Certificate of Eligibility (2 original)
_____ (6) Certificate of Indigency from Barangay – Purpose: Financial Assistance (2 original)

I certify that the information provided is accurate to the best of my knowledge and belief.

_______________________________ _______________________________
Applicant’s Signature Received by / Date Signed
Over Printed Name Congressional Office

Announcements related to this program will be posted


in our official Facebook Page at https://www.facebook.com/congressmantongpaglas .

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