Student Government Allowance Program

Checklist of Requirements

Name: ______________________
ID Number: ______________________
Year/College: ______________________

The portion below is to be filed out by Financial Assistance Committee officers only.

( ) Information Sheet

( ) Students Guide

( ) Breakdown of Food and Transportation Expenses

( ) Narrative

( ) Good Moral Certificate

( ) Photocopy of Latest Income Tax Return

( ) Photocopy of ID front and back

Checked by: ____________________________ (Printed Name Over Signature/Date)

Status of Application: ( ) Approved ( ) Disapproved

Approved by:

_____________________________ _____________________________
Ana Patricia Muyco
Chairperson for Financial Assistance Office of Admissions and Scholarships

_____________________________
Brian Christian C. Chen
USG Executive Treasurer