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SIMPLICIO GAMBOA SR. FOUNDATION INC.

SGS Foundation Bldg., 1335 G. Araneta Avenue, Quezon City


Email: s!olars!i"s#sgs$oundation.org."!
%e&site: '''.sgs$oundation.org."!
Contat (o. )1)*+,)1 lo. -)+
SCHOLARSHIP RENEWAL FORM
(A.E /F SC0/1A2: (3C4(A.E:
52ESE(6 0/.E A772ESS:
E.A31 A772ESS: 6E1. (/.: ./B31E (/.:
C/11EGE89(3:E2S36;: C/92SE: SC0//1 ;EA2: ;EA2 1E:E1:
REPORT OF GRADES
S9B<EC6 C/7E S9B<EC6 G2A7E 9(368S 6/6A1
6/6A1 (9.BE2 /F S9B<EC6S: ======================
6/6A1 (9.BE2 /F 9(36S: ======================
GE(E2A1 %E3G06E7 A:E2AGE: ======================
SCHOLARSHIP RENEWAL UNDERTAKING
3 $ully ae"t t!e !ereunder rules and "oliies o$ t!e SGS Foundation S!olars!i":
3 s!all a""ly $or t!e rene'al o$ my S!olars!i" Grant every end o$ semester, '!i! s!all inlude Summer 6erm i$ "resri&ed
in t!e Curriulum>
3 s!all oordinate and see? a""roval $rom SGS Foundation on any deision regarding my S!olars!i">
3 s!all su&mit A11 re@uired s!olars!i" doumentations, as a""lia&le, on or &e$ore t!e 'ee? "rior to t!e start o$ t!e
semester, '!i! s!all inlude t!e $ollo'ing:
== /riginal /$$iial 2eei"t85roo$ o$ 5ayment $rom t!e "revious semester>
== A5!otoo"y and /riginal Co"y o$ Grades o$ t!e "revious semester>
== 5!otoo"y o$ 5re*2egistration8Certi$iate o$ 2egistration $or t!e $ollo'ing8urrent semester>
== 5!otoo"y o$ 5re*Assessment8Assessment o$ Fees $or t!e $ollo'ing8urrent semester>
== 1etter o$ A""eal (for those with GWA lower than the maintaining grade of 2.0 or 85%)
3 s!all ontinually u"!old t!e !onor and "restige o$ t!e Foundation &y &eing an eBem"lary student &y om"lying all rules
and regulations o$ SGS Foundation and t!e College89niversity 3 am enrolled in.
3n ase o$ violation on t!e $oregoing onditions, 3 res"et t!e rig!t o$ SGS Foundation to im"ose disi"linary ation or termination
o$ S!olars!i" as t!e ase may &e.
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Signature over 5rinted (ame o$ S!olar 7ate
*Scholars from Partner olleges!"ni#ersities shall ha#e their Photoco$% of Grades #erified and signed &% its Scholarshi$ oordinator.
. 7A6E 2ECE3:E7: ============
52/CESSE7 B;: ============
SCHOLARSHIP STATUS:
C D 2E(E%E7
2E.A24S:
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C D 6E2.3(A6E7
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A552/:3(G /FF3CE2

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