Form for application of scholarship, president and dean's listers in Polytechnic University of the Philippines.

1. OSFA-F4-2008
Republic of the Philippines
Polytechnic University of the Philippines
OFFICE FOR SCHOLARSHIP & FINANCIAL ASSISTANCE
Sta. Mesa, Manila
S C H O L A R S H I P A G R E E M E N T
KNOW ALL MEN BY THESE PRESENTS:
This agreement executed by_________________________________, a bona fide students of the
Polytechnic University of the Philippines, hereinafter called the AWARDEE, residing at
____________________________________________________________ with the written consent of
__________________________________ the students’ PARENT/GUARDIAN, residing at
____________________________________________________ both hereinafter referred to as the Party of
the First Part, and the Polytechnic University of the Philippines, with Principal office at Sta. Mesa, Manila,
hereinafter referred to as the Party of the Second Part.
- WITNESSETH -
WHEREAS, the University recognizes and encourages academic excellence and its scholarship
program is designed to support those who strive toward each excellence;
WHEREAS, the University has approved to grant the AWRDEE a scholarship consisting of
full or partial tuition fees remission for the _______ semester of school year 20 ____/20____;
WHEREFORE, the Parties of the First and Second Parts hereby agree to be bound by the following
conditions:
1. That it shall be the responsibility of the AWARDEE to:
a) Full the requirement specified in Office Memo No. 2, s. 1980;
b) Report to the respective trainor/coach/supervisor regularly;
c) Show exemplary conduct at all times;
d) Maintain the required scholarship performance;
e) Extend cooperation and support in the prosecution and/or
implementation of the University projects, its rules and regulations.
2. That it shall be the responsibility of the University to:
a) Maintain the herein stipulated scholarship support under the
aforementioned conditions;
b) Cancel the scholarship grant anytime on the basis of :
1. Misrepresentation of the AWARDEE in his/her
application for scholarship;
2. Willful violation by the AWARDEE of the rules.
regulations and guidelines of the University;
3. Behavior unbecoming of the scholar determined
by the competent authorities of the University;
4. Conduct inimical to the interest of the University.
3. That the parties of this contract further agree:
a) That, upon cancellation of the scholarship grant, the AWARDEE shall pay the
equivalent tuition fee; provided, further, that the AWARDEE’S grades for the
semester shall be withheld until his/her obligation is settled;
b) That the PARENT/GUARDIAN shall assist the AWARDEE in complying with
the aforementioned terms and conditions.
In witness whereof, we have hereunto set our hands in Manila this ____________
day of _____________ 20 _______.
By the Authority of the President:
___________________________
( Awardee’s Signature )
____________________________
( Parent/Guardian)
__________________________________
Chief, OSFA