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Form 137


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Form 137

  1. 1. Office of the President of the Philippines COMMISSION ON HIGHER EDUCATION REGIONAL OFFICE ____   Female   No. of Siblings in the family School Intended to enroll in School Address: Type of School: ( ) Public ( ) Private Course: ( ) Priority ( ) Non-Priority Documents Attached: Equivalent Points = = Evaluated/Processed by: DOCUMENTARY REQUIREMENTS 1. Must be a Filipino citizen; Academic Requirement: Must be a high school graduate; candidate for A. For Incoming Freshmen graduation; with earned units in college; 1. For fourth year high school applicants - third year grades and first three grading periods of fourth year; passer of ALS/PEPT; 2. For high school graduates - Form 138 Must have a combined annual gross income of B. For Applicants with Earned Units in College parents/guardian not to exceed Three Hundred 1. Certificate of grades in all subjects in the last two (2) semesters Thousand Pesos (P300,000.00).* C. For Other Applicants Must avail only one CHED scholarship or financial 1. ALS - Accreditation and Equivalency Test Passer Certificate assistance program; and 2. PEPT - Certificate of Advancing to the Next Level 5. Must not be a graduate of any degree program. OTHER REQUIREMENTS: A. Any one of the following: Latest Income Tax Return (ITR) of parents or guardian, Certificate of Tax Exemption from the Bureau of Internal Revenue (BIR) Certificate of Indigency from their Barangay, Case Study from Department of Social Welfare and Development (DSWD), or Affidavit of No Income B. Certificate of good moral character from the last school attended. 4. 2. 3. *In highly exceptional cases where income exceeds PhP300,000.00, the CHEDRO StuFAPs Committee shall determine the merits of the application. CHED StuFAP Coordinator GENERAL REQUIREMENTS Student Loan persons with disabilities Total indigenous and ethnic peoples Grants-In-Aid senior citizens Latest ITR P Applicant is Qualified for: Belongs to: (any of the following groups) Scholarship solo parent and their dependents Form 138 (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) Educational Attainment Total Parents Gross Income Address Occupation FAMILY BACKGROUND Father: ( ) Living ( ) Deceased Mother: ( ) Living ( ) Deceased Name Mobile Number Highest Grade/Year E-mail Address Type of Disability (if applicable) Citizenship School Type ( )Public ( )Private Sex Male Zip Code Civil Status Single School Name Married School Address (First Name) (Middle Name) Date of Birth (mm/dd/yy) Permanent Mailing Address Place of Birth Revised StuFAPs FORM NO. 1 2014 version (NOT FOR SALE) CHED STUDENT FINANCIAL ASSISTANCE PROGRAMS (StuFAPs) APPLICATION FORM Instructions: Please read the General and Documentary Requirements. Fill in all the required information. Do not leave an item blank. If item is not applicable, indicate "N/A". PERSONAL INFORMATION Name (Last Name) 2 X 2 ID PICTURE
  2. 2. Information Technology Science and Math Information Technology and Computing Studies BS Math Multimedia BS Physics Animation BS Biology Programming BS Chemistry Computer Science BS Marine Biology/Science Information System Management BS Applied Physics Bachelor in Library Science and BS Geology Information System Major in System Analysis BS Earth Science BS Applied Mathematics Agriculture and Related Fields BS Statistics/Applied Statistics Agro Forestry Atmospheric Science Veterinary Medicine Environmental Science Agricultural Engineering Agribusiness/Management Health Sciences Agricultural Entrepreneurship Pharmacy Agricultural Technology Radiology Technology Agriculture Medical Technology Fisheries Physical Therapy BS Food Technology BS Nutrition Agricultural Economics Arts and Humanities Teacher Education major in Creative and Performing Arts Math BS Religious Education Science BS Philosophy Physics BS Theology Chemistry Reading Social and Behavioral Sciences English BS Psychology Educational Media/Technology BS Social Work Special Education (SPED) Human Development Human Kinetics Guidance and Counselling Physical Education and Sports Science Bachelor of Physical Education major in School PE Business Administration and related courses Early Childhood Education BS Accountancy Environmental Planning (for Teachers) Business Data Outsourcing MAPEH Business Process Outsourcing Music Education Construction Management Art Education Tourism Health Education Architecture Engineering BS Architecture Mechanical Landscape Architecture Electronics Interior Design Communication Environmental Planning Metallurgical/Mining Fine Arts Computer Urban Planning Biomedical Chemical Maritime Geodetic BS Marine Transportation Electrical Meteorological Communication Mining BA Communication Geological BA Journalism Sanitary Engineering BA Broadcasting Chemical Engineering BS Development Communication Industrial Engineering Civil Engineering Others (to be determined by the Region) Electronics and Communication Engineering Petroleum Engineering Bio Chemical Engineering CHED Priority Courses for AY 2014-2015 to AY 2017-2018 CHED Memorandum Order (CMO) No. 01, s. 2014