Office of the President of the Philippines

COMMISSION ON HIGHER EDUCATION

REGIONAL OFFICE ____
Female
Widowed
Separated
Others
No. of Siblings in the family
School Intended to enroll in
School Address:
Type of School: ( ) Public ( ) Private
Course: ( ) Priority ( ) Non-Priority
Documents Attached: Equivalent Points
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Evaluated/Processed by:
General Requirements: Documentary requirements:
1. 1.
2. 2.
3. 3.
4. 4.
5. Must not be a recipient of any government scholarship and financial assistance.
Must not be more than 30 years of age at the time of application except for senior citizens; Duly certified High School Report Card for third year and grades for the first three grading
periods for fourth year:
Must be a high school graduate or a candidate for graduation; 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;
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;
Certificate of good moral character from the high school principal/guidance counselor;
CHED StuFAP Coordinator
Must be a Filipino citizen of good moral character; Accomplished CHED StuFAPs Application (OSS Form 01);
Student Loan persons with disabilities No. of siblings in the family
indigenous and ethnic peoples Total
Grants-In-Aid senior citizens Latest ITR P
Applicant is Qualified for: Belongs to: (any of the following groups)
Scholarship solo parent and their dependents Form 138
(Signature over Printed Name of Applicant) 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)
Educational Attainment
Total Parents Gross Income
Address
Occupation
FAMILY BACKGROUND
Father: ( ) Living ( ) Deceased Mother: ( ) Living ( ) Deceased
Name
Mobile Number Highest Grade/Year
E-mail Address Type of Disabilty (if applicable)
Annulled
Citizenship School Type ( )Public ( )Private
Sex Male Zip Code
Civil Status
Single School Name
Married
School Address
(First Name) (Middle Name)
Date of Birth (mm/dd/yy)
Permanent Mailing
Address
Place of Birth
Revised OSS FORM NO. 1
2012 version
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)




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