The document is a Certificate of Good Moral Character form for the 2024 DOST-SEI Science and Technology Undergraduate Scholarships application. It certifies that the named applicant has maintained good moral character with no disciplinary actions taken against them. It notes that if the applicant qualifies for the scholarship but fails to maintain good moral character before being awarded, it could lead to disqualification from receiving the scholarship.

1. Republic of the Philippines
Department of Science and Technology
SCIENCE EDUCATION INSTITUTE
2024 DOST-SEI SCIENCE AND TECHNOLOGY
UNDERGRADUATE SCHOLARSHIPS APPLICATION FORM
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FORM C – CERTIFICATE OF GOOD MORAL CHARACTER
TO WHOM IT MAY CONCERN:
This is to certify that ___________________________________________________________
(Name of Applicant)
has consistently maintained good moral character, there having no disciplinary action taken against
him/her as of the date of application.
___________________________________________
Printed Name & Signature of Principal/Guidance Counselor
Date: ______________________________________
NOTE: Should the Applicant be considered a potential qualifier, failure to maintain good moral character before
the scholarship is awarded may be a cause for disqualification. DOST-SEI may require another
Certification of Good Moral Character.