Professional Documents
Culture Documents
No. of Siblings in the Family : _______ Family Order : 1st [ ] 2nd [ ] 3rd [ ] Others: _______
I hereby certify that all answers given above are true and correct to the best of my
knowledge. I will also abide with the policy of the program that selection of qualified examinees for
scholarship award after approval of the Administrator is final and unappealable.
Attested by:
C. REQUIREMENTS REMARKS
D. ALTERNATE/OTHER REQUIREMENTS :
__________________________________________________________________________________________________________
______________________________________________________________________________________________
_______________________________________
E. EVALUATION REPORT:
APPROVED:
Date
FORM 2
A. HEALTH CERTIFICATE
Physically fit
Physically unfit
This certification is issued in connection with his/her application for the Education for Development
Scholarship Program (EDSP) for the SY 2009 - 2010.
____________________________
Medical Officer
(Signature Over Printed Name)
LC # _______________________
*********************************************************************************
___________________________
Principal / Guidance Counselor
(Signature Over Printed Name)
Date: _______________________
*********************************************************************************
C. PRINCIPAL'S CERTIFICATION
___________________________
Principal
(Signature Over Printed Name)
Date: ________________________
D. APPLICANT'S CERTIFICATION
This is to certify that the undersigned has not previously taken the Education for Development
Scholarship Program (EDSP) Qualifying Examination and any post secondary/vocational or
undergraduate/college units.
Attested by:
_________________________ ___________________________
Parent / Guardian Applicant
(Signature Over Printed Name) (Signature Over Printed Name)
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_________________________
Parent / Guardian
(Signature Over Printed Name)