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Revised OSS FORM NO. 1
2012 version

Office of the President of the Philippines
COMMISSION ON HIGHER EDUCATION
REGIONAL OFFICE ____

2X2
ID PICTURE

CHED STUDENT FINANCIAL ASSISTANCE PROGRAMS (StuFAPs)
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".

PERSONAL INFORMATION
Name
(Last Name)

(First Name)
Permanent Mailing
Address

Date of Birth (mm/dd/yy)

(Middle Name)

Place of Birth



Male



Female

Zip Code



Single



Widowed



Married



Separated

School Name
School Address



Sex
Civil Status

Annulled



Others

Citizenship

School Type

Mobile Number

Highest Grade/Year

( )Public

E-mail Address

( )Private

Type of Disabilty (if applicable)

FAMILY BACKGROUND
Father:

( ) Living

( ) Deceased

Mother:

( ) Living

( ) Deceased

Name
Address
Occupation
Educational Attainment
Total Parents Gross Income

No. of Siblings in the family

School Intended to enroll in
School Address:
Type of School:

( ) Public

( ) Private

Course:

( ) Priority

(Signature over Printed Name of Applicant)

( ) Non-Priority

Date Accomplished

Note: Fully accomplished form to be submitted to the CHEDRO on or before March 31
DO NOT FILL-OUT THIS PORTION (FOR CHED USE ONLY)
Applicant is Qualified for:

Belongs to: (any of the following groups)

Documents Attached:

Scholarship

solo parent and their dependents

Grants-In-Aid

senior citizens

Latest ITR

Student Loan

persons with disabilities

No. of siblings in the family

indigenous and ethnic peoples

Equivalent Points

Form 138

=

Total

P

=
=

Evaluated/Processed by:

CHED StuFAP Coordinator
General Requirements:
1. Must be a Filipino citizen of good moral character;
2. Must not be more than 30 years of age at the time of application except for senior citizens;
3. Must be a high school graduate or a candidate for graduation;
4. Must have a combined annual gross income of parents/guardian not to exceed Three Hundred
Thousand Pesos (P300,000.00). For those who are exempted from filing income tax, there
should be a certificate of tax exemption from the BIR. For OFW and Seafarers, a latest copy of
contracr or prrof of income;
5. Must not be a recipient of any government scholarship and financial assistance.

Documentary requirements:
1. Accomplished CHED StuFAPs Application (OSS Form 01);
2. Duly certified High School Report Card for third year and grades for the first three grading
periods for fourth year:
3. Latest Income Tax Return (ITR), Certificate of Tax Exemption or Copy of Contract or proof of
income of parents/guardian from Bureau of Internal Revenue;
4. Certificate of good moral character from the high school principal/guidance counselor;

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Form

  • 1. Revised OSS FORM NO. 1 2012 version Office of the President of the Philippines COMMISSION ON HIGHER EDUCATION REGIONAL OFFICE ____ 2X2 ID PICTURE CHED STUDENT FINANCIAL ASSISTANCE PROGRAMS (StuFAPs) 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". PERSONAL INFORMATION Name (Last Name) (First Name) Permanent Mailing Address Date of Birth (mm/dd/yy) (Middle Name) Place of Birth  Male  Female Zip Code  Single  Widowed  Married  Separated School Name School Address  Sex Civil Status Annulled  Others Citizenship School Type Mobile Number Highest Grade/Year ( )Public E-mail Address ( )Private Type of Disabilty (if applicable) FAMILY BACKGROUND Father: ( ) Living ( ) Deceased Mother: ( ) Living ( ) Deceased Name Address Occupation Educational Attainment Total Parents Gross Income No. of Siblings in the family School Intended to enroll in School Address: Type of School: ( ) Public ( ) Private Course: ( ) Priority (Signature over Printed Name of Applicant) ( ) Non-Priority Date Accomplished Note: Fully accomplished form to be submitted to the CHEDRO on or before March 31 DO NOT FILL-OUT THIS PORTION (FOR CHED USE ONLY) Applicant is Qualified for: Belongs to: (any of the following groups) Documents Attached: Scholarship solo parent and their dependents Grants-In-Aid senior citizens Latest ITR Student Loan persons with disabilities No. of siblings in the family indigenous and ethnic peoples Equivalent Points Form 138 = Total P = = Evaluated/Processed by: CHED StuFAP Coordinator General Requirements: 1. Must be a Filipino citizen of good moral character; 2. Must not be more than 30 years of age at the time of application except for senior citizens; 3. Must be a high school graduate or a candidate for graduation; 4. Must have a combined annual gross income of parents/guardian not to exceed Three Hundred Thousand Pesos (P300,000.00). For those who are exempted from filing income tax, there should be a certificate of tax exemption from the BIR. For OFW and Seafarers, a latest copy of contracr or prrof of income; 5. Must not be a recipient of any government scholarship and financial assistance. Documentary requirements: 1. Accomplished CHED StuFAPs Application (OSS Form 01); 2. Duly certified High School Report Card for third year and grades for the first three grading periods for fourth year: 3. Latest Income Tax Return (ITR), Certificate of Tax Exemption or Copy of Contract or proof of income of parents/guardian from Bureau of Internal Revenue; 4. Certificate of good moral character from the high school principal/guidance counselor;