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Scholarship_form Diwa Party List

Scholarship_form Diwa Party List

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Published by Philippe Prologo

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Published by: Philippe Prologo on Sep 26, 2011
Copyright:Attribution Non-commercial


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Name ______________________________________Address __________________________ Surname First M.I. Date of Birth ______________________________ Place of Birth _______________________ Course: ______________________________ Academic School Year: ___________________ Father’s Name: ________________________Occupation: _____________________________ Mother’s Name: _______________________Occupation: _____________________________ Aggregate Monthly Family Income: ___________________________ Siblings:
Name Birthday Occupation Level of Education (Elementary/Secondary/College)

TERMS AND CONDITIONS: The AWARDEE hereby accepts and agrees to abide by the following terms and conditions: A. That he/she shall have a semestral scholastic weighted average of not lower than 2.5. B. That he/she shall remain single while studying and conduct himself/herself in the highest moral standards. C. That he/she have no less than 21 units of academic load per semester. D. That he/she shall submit a semestral report of grade to the Dean of Student Affairs prior to every regular enrollment. E. Failure to comply with these terms and conditions will mean termination of the scholarship privilege. I certify that the above information is true and correct based on my own personal knowledge and/or official records. __________________________________ Signature Over Printed Name CONFORM: _________________________________ Father WITNESS: _________________________________ Signature Over Printed Name

__________________________________ Mother __________________________________ Signature Over Printed Name

NOTE: The grantee must not be enjoying any scholarship study grant at the time of application.

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