1. The document is a scholarship application form for the L.A.N.I. Scholarship Program in Taguig City, Philippines. 2. It requests personal information from applicants such as name, address, family details, education history, and income information. 3. Applicants must submit documents such as grades, ID cards, and certification to prove their eligibility for different types of scholarships for basic education, state universities, or local colleges in the region.

1. OFFICE OF THE MAYOR
Taguig City, Philippines
L.A.N.I. SCHOLARSHIP APPLICATION FORM
Basic/Basic + SUC/SUC-LCU
Recent
Instruction: Second Semester SY 2014 -2015
1. PRINT all entries
2. Place an X in the appropriate blank provided Date:_____________________________
SCHOLARSHIP APPLIED FOR
____ Basic Scholarship ____ Basic Plus SUC/LCU ____ SUC/LCU
______ New Applicant _______ Renewing Scholarship (Renewal for ______________________ Time)
Graduating this semester/term ____ Yes _____ No If yes, are you graduating with honors? ______Yes _______ No
If no, how many semesters more to go before you graduate, including the current sem/term? _________________
Basic Plus SUC/LCU Graduate of public high school in Taguig or nearby LGUs, who are enrolled or enrolling
in an SUC or LCUs in the NCR.
SUC/LCU Graduate of private school who are enrolled or enrolling in an SUC or LCUs in the NCR.
Basic Graduate of any public high school in Taguig or nearby municipalities or cities within the
NCR who are not enrolled in any SUC or LUC in the NCR.
REQUIREMENTS TO BE SUBMITTED
_____ Filled-up Application with 2X2 Recent Picture _____ Authenticated Copy of Grades last sem (for trimester
_____ Enrolment Form for the Current Semester/Term
with Official Receipt
grades for the past 2 terms with school seal)
_____ Voter’s Certification issued by Comelec showing that
_____ High School Card for Freshmen (any proof of having
graduated from Public High School
at least one of the parents of the applicant is a
registered voter/ Voter’s Certification of the
_____ Certificate of Good Moral Character (Issued within applicant (if 18 years old or above)
the school year
_____ School ID back to back (photocopy)
_____ Scholarship Voucher, if graduate of Taguig Public
High School/ EVS Scholar please present EVS
_____ Other necessary documents to facilitate the processing
of your scholarship application
Voucher
PERSONAL INFORMATION
Full Name: ____________________________________________________________________________________________________________________
(Last Name) (First Name) (Middle Name)
Address: _______________________________________________________________________________________________________________________
Barangay: _____________________________________________ E-mail Address: ________________________________________________
Mobile Phone No.:_______________________________ Telephone No.: ________________________ Age: _________________
Date of Birth:________________________________________ Place of Birth: _______________________________ Gender: _____________
Years of Residency in Taguig (applicant): _________ Marital Status: __________________ Religion: ____________________
Residence: ______Owned by family_____ Owned by relatives _____ Renting ____Paying-to-own _____Others (pls specify):
__________________________ If renting or paying-to-own, how much are you paying monthly?: P_________________________
Have you been the object of any disciplinary action in school? ____Yes _____ No . Have you been accused or convicted
of any offense/crime? ____ Yes _____ No If the answer to any of the last 2 questions above is “Yes,” please provide
details: _________________________________________________________________________________________________________________________
Acceptance of Applications for the SECOND SEMESTER SY 2014-2015
First Batch: Nov 03 - 17, 2014 Third Batch : Feb 16 – 27, 2015
Second Batch: Dec 10 - 17, 2014 For TUP-Taguig Nov 05 – 12, 2014 only
Jan 05 – 14, 2015 For PUP-Taguig March 04 – 11, 2015 only
2x2
ID Picture
Please provide 2 (two) sets of all the documents. All photocopied documents to be submitted should be
faithful reproduction of the original. Bring the original copies of documents for validation purposes. Ask for the
“Receiving Copy” upon submission.

2. COURSE and SCHOOL
Course: ___________________________________________________________Year Level: __________ Grade Ave. last sem:_____________
School:___________________________________________________________________________________________________________________________
School Address: ________________________________________________________________________________________________________________
EDUCATIONAL BACKGROUND
Name of Schools Attended
School
Type
(Indicate if
Public or
Private)
School Address
Year
Started –
Year
Graduated
Honors/Awards
Received
(if any)
High School
Elementary
FAMILY BACKGROUND
FATHER
( ) Living ( ) Deceased
MOTHER
( ) Living ( ) Deceased
HUSBAND/WIFE
(If Married)
Name
Address
Contact No.
Occupation
Place of Work
Highest Educational
Attainment
Ave. Monthly Income
Number of siblings in the family (including applicant):_______. Please fill out information below about your siblings:
Name
Age Marital
Status
(M or S)
Highest Educational
Attainment
(as of date)
If working, indicate where they
work & their average monthly
income
I hereby certify that ALL the answers given above are TRUE and CORRECT to the best of my knowledge, and the
attached documents are FAITHFUL REPRODUCTION of the original copies. I further acknowledge that ANY ACT OF
DISHONESTY OR FALSIFICATION MAY BE A GROUND FOR MY DISQUALIFICATION from this scholarship program.
Thank you very much.
_____________________________________________________________
Printed Name & Signature of Applicant
Date: ____________________________________________________
Attested by: __________________________________________________________________ Date: ___________________________
Printed Name & Signature of Parent/Legal Guardian
Investing in education, investing in the City’s Foundation!