University of the Philippines

Application for Financial Assistance under the

Socialized Tuition and Financial Assistance Program (STFAP)
Alphabetic Bracketing Scheme

UP STFAP Form AB-1 Version 1.06 03/09

This form may be photocopied or downloaded from the U.P. STFAP website:
http://stfap.up.edu.ph. Printed forms are available for a nominal amount.

To qualify for financial assistance, the student must:

1. Be a Filipino citizen.
2. Be a bona fide undergraduate student. Except for Law or Medicine, the applicant must
not have a bachelor’s degree. For an incoming freshman or new student, the applicant
must have a U.P. Admission Slip.
3. Never have been adjudged guilty of any offense that carries a penalty of more than
thirty- (30) days suspension.
4. Be in need of financial assistance as determined by the University.

Important Notes

1. The grant shall be for one academic year, renewable annually.

2. The University reserves the right to determine whether the student deserves financial
assistance, and the kind and amount of assistance.
3. STFAP privileges will be withdrawn from a student who withholds and/or falsifies
information, without prejudice to other penalties that may be imposed by the University.
Some students have already been expelled or suspended from the University for
withholding and/or falsifying information in their STFAP application.
4. All information supplied by the student will be treated with strict confidentiality and will be
for the internal use only by the University.

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Part A.Instructions and Checklist

Instructions

1. This application form is for use in the manual application process. If you want to apply
online, access STFAP Online at http://stfap.up.edu.ph.
2. The application form must be filled out by the student and the parent/legal guardian/
spouse.
3. Print all entries legibly. Place a check mark or a cross inside the box of the appropriate
response.
4. Avoid erasures. For each erasure, the applicant must countersign the item corrected on
the page margin.
5. Answer all questions and fill up all items. If the question requires a numerical response
and the answer is None, write 0. When the question is not applicable to your situation,
write NA. Do not leave any item blank.
6. Attach photocopies of the documents/materials in the following checklist to your
accomplished application form. Present the originals of the documents for verification
when you submit your application. Non-submission of applicable documents/materials
may be considered withholding of information.
7. Submit the accomplished application to the designated student affairs office of your
constituent university/campus on or before the deadline.

Checklist of Required Documents/Materials

 1. One (1) 2” × 2” picture taken within the last three months, with the applicant’s name
and student number printed on the back, stapled on Page 3 of this form.
 2. Birth certificate of the applicant.
 3. Income Tax Return (ITR) of the applicant for the previous year, if employed.
 4. Income Tax Returns of the applicant’s parents/legal guardian/spouse for the previous
year.
If unemployed or exempt, submit the BIR Certification of Exemption from non-filing of
ITR or Municipal Certification of Unemployment.
 5. Income Tax Returns of other gainfully employed members of the applicant’s
household for the previous year.
 6. Affidavit of support from legal guardian, if applicable.
 7. Marriage certificate if the applicant is married.
 8. Personal Statement of Assets and Liabilities of the applicant’s parent/legal guardian/
spouse. Use Page 12 of this application form.
 9. Latest Tax Declarations of all real properties.
 10. Assessment form or statement of account or certification from high school regarding
the amount of school fees paid by the applicant for fourth year high school (for
private high schools only).
 11. Assessment form or statement of account or certification from college/university
regarding the amount of school fees paid by the applicant prior to entering U.P. (for
transferees only).
 12. Electric bills for the last three (3) months.
 13. Water bills for the last three (3) months.

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STFAP Application No.: ______ STFAP Use Only:
Academic Year 20__-20__ CU/Campus: ________
Date Received: 2” × 2”
Picture
Part B.Application Form Received by:
___________________
1. Student Data Print name and
student number
1.1. U.P. Student Number: 20__-_____ on the back and
staple here
1.2. Student’s Name:
Family Name: _________________________
First Name: ________________________________________
Middle Name: _______________________ Maiden Name?  No  Yes

1.3. Date of Birth: Month: ___ Day: ___ Year: ___

1.4. Sex:  Male  Female

1.5. Citizenship:  Filipino  Other, please specify: __________________

1.6. Civil Status:  Single  Married  Separated/Divorced  Widowed

1.7. Address of Student While at U.P.:

Street Address: _______________________________________
Barangay: ________________________________________
City/Municipality: ________________________________________
Province: ________________________________________
Zip Code: ____

1.8. Student’s Telephone Number:

Landline: _______________
Cell phone: _______________

1.9. Student’s e-mail Address: ______________________________

1.10. Name and Address of Parent/Legal Guardian/Spouse:

Name: _______________________________________
Street Address: _______________________________________
Barangay: ________________________________________
City/Municipality: ________________________________________
Province: ________________________________________
Zip Code: ____

1.11. Telephone Number of Parent/Legal Guardian/Spouse:

Landline: _______________
Cell phone: _______________

1.12. Student’s Permanent Address: (if different address from 1.7 or 1.10)
Street Address: _______________________________________
Barangay: ________________________________________
City/Municipality: ________________________________________
Province: ________________________________________
Zip Code: ____

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1.13. Type of financial assistance applied for:
 Bracket C: 40% tuition subsidy
 Bracket D: 70% tuition subsidy
 Bracket E1: 100% tuition, miscellaneous and laboratory fees subsidy
 Bracket E2: 100% tuition, miscellaneous and laboratory fees subsidy,
semestral stipend

1.14. High School Data:

Name of high school: ___________________________________________
Address: _______________________________________________________
Type of high school:
 Public general  U.P.-administered
 Public special (science high school)  Other state university high school
 Public vocational  Private sectarian
 Public barrio/barangay  Private non-sectarian
Tuition and other school fees paid in fourth year high school: P__________
Were you on scholarship in high school?  No  Yes

1.15. Are you a transferee from a non-U.P. school?

 No
 Yes
How much did you pay as school fees in your last semester/trimester/quarter
in your previous school? P__________
Were you on scholarship in your previous school?  No  Yes

1.16. College Data:

U.P. campus:
 Baguio  Manila
 Cebu  Mindanao
 Diliman  San Fernando
 Iloilo / Miag-ao  Tacloban / Palo
 Los Baños
College: ______________________
Degree Program: __________________________ Year Level: 1 2 3 4 5

What is your student type?

 Freshman / Transferee from non-U.P. school
 Old student, first-time STFAP applicant
 Old student, previous STFAP applicant (Alphabetic Bracketing Scheme)
What was your previous STFAP bracket? ___

Have you been suspended for at least 30 days anywhere in the U.P. system?
 No  Yes

1.17. Do you have a brother/stepbrother/sister/stepsister/spouse enrolled in an

undergraduate program anywhere in the U.P. System?

Applying for
Student Civil STFAP this
Name Campus College
Number Status Year?
Yes No

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1.18. Are you staying in a boarding house or dormitory?
 No
 Yes
Are you staying in a U.P. dormitory?  No  Yes
How much is your monthly board? P_______ Monthly lodging? P_______

1.19. How do you travel between U.P. and your current place of residence?
 By family/own vehicle
 By carpool
 By motorcycle
 By public transport How much is your transport fare per day? P_______
 By bicycle/walking

1.20. Are you currently employed?

 No
 Yes Are you employed:  Full time?  Part time?
If you worked last year, what was your annual gross income? P__________

1.21. Who will finance your schooling?

 Parents
 Relatives
 Self
 Scholarship other than STFAP, please specify: ______________________
How much do you receive as support per semester? P__________
 Educational plan, please specify: ________________________________
How much do you receive as support per semester? P__________
 Others, please specify: ________________________________________
How much do you receive as support per semester? P__________

1.22. Are your parents, legal guardian, or your spouse a member of the following?
 No membership in any organization
 Sports and country club (e.g., Manila Polo Club, Makati Sports Club)
 Service organization (e.g., Lions Club, Rotary)
 Professional association (e.g., Integrated Bar of the Philippines, Philippine
Institute of Civil Engineers)
 Business organization (e.g., Makati Business Club, PCCI)
 Others, please specify: ______________________

1.23. Have you been issued a passport?

 No
 Yes What is your passport number? ________ Date issued? ________
Have you traveled outside the Philippines within the last two years?
 No
 Yes
How many times have you traveled abroad within the last two years? ___
Who financed the trip(s)?  Family  Others

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2. Family/Household Data

Household is defined as all persons living under the same roof and/or sharing food and other expenses.

2.1. Who among the following family members are co-residing with you?
 Father/Stepfather
 Mother/Stepmother
 Legal Guardian
 Spouse  Children Number: _____
 Brothers/Stepbrothers Number: _____
 Sisters/Stepsisters Number: _____
 Others Number: _____

Total members of your family co-residing with you: _____

2.2. Parents/Legal Guardian/Spouse

Educational Previous Still Living?

School Occupation Previous
Attainment Year’s Yes, Living
Attended or Group (see Year’s Abroad?
Name Age Type (see Name of Employer Income
Graduated code list next Gross No
code list next Taxes
From page) Income Yes No
page) Paid
Father/Stepfather

Mother/Stepmother

Legal Guardian

Spouse

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 2.3. Other family or household members who are employed or earning.

Educational Previous Currently Living with

School Occupation Previous
Name of Family or Relation- Attainment Year’s Your Family?
Attended or Name of Group (see Year’s
Household Member Age ship to the Type (see Income No, Working
Graduated Employer code list Gross Abroad?
Who Is Employed Applicant code list Taxes Yes
From below) Income
below) Paid Yes No

Educational Attainment Type Codes: (choose the highest applicable) Occupation Group Codes:
G Master’s or doctorate degree holder M Government official, corporate executive, manager,
CG College graduate managing proprietor, supervisor
C Attended college but not graduated P Professional: accountant, dentist, doctor, engineer, lawyer, teacher
HG High school graduate T Technician
H Attended high school but not graduated C Clerk
EG Elementary school graduate W Sales worker, farmer, forestry worker, fisherman, trade worker,
E Attended elementary school but not graduated plant and machine operator, assembler, laborer, unskilled worker
N Never attended school O Other occupation
U Unemployed

2.4. Non-earning brothers/stepbrothers/sisters/stepsisters who are single and living with the family.
For married applicants, include children. Use a separate sheet if necessary.

Educational With
Relationship to the Studying? School Attended or
Name Age Attainment Type (see Scholarship?
Applicant Graduated From
Yes No code list above) Yes No

2.5. Other relatives or people who contribute in meeting the family expenses.

Name Relationship to the Applicant Type of Contribution Average Monthly Contribution

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2.6. What are the sources of income of your household? (select all that apply)
 Business  Remittances from abroad
 Practice of profession  Commissions
 Farms/haciendas/fishponds  Earnings from investments
 Real estate rentals  Pensions
 Salaries or wages  Others

2.7. How many of the following are living with or working full-time for your family?
Number
Housemaid ___
Houseboy ___
Yaya ___
Cook ___
Driver ___
Gardener ___
Security guard ___
Others, please specify: __________________ ___

2.8. Does your family have any of the following?

Include only those that are in good working condition and have been purchased
or acquired by your family within the last ten (10) years.
Number of working units
AM/FM Radio ___
Stereo/audio system ___
Karaoke ___
Piano/organ/electronic keyboard ___

Cell phone ___

Television set ___

Video player (e.g., DVD/VCD player, VHS player) ___
Video camcorder ___

Wood/charcoal/kerosene stove ___

LPG stove ___
Electric stove ___
LPG cooking range with oven ___
Electric cooking range with oven ___
Microwave oven ___
Refrigerator ___
Upright or chest-type freezer ___

Washing machine ___

Heated electric clothes dryer ___
Air conditioner ___

Electric water pump and tank ___

Electric water heater ___

Desktop personal computer ___

Notebook/laptop personal computer ___
Computer game system (e.g., Sony PlayStation) ___

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2.9. Do you have telephone landlines?
 No
 Yes How many landlines? ___

Do you have electricity?

 No
 Yes How much were your electricity bills for the last three months?
Month: _______________ Amount of bill: P________ (attach copy of bill)
Month: _______________ Amount of bill: P________ (attach copy of bill)
Month: _______________ Amount of bill: P________ (attach copy of bill)

Do you have piped or running water inside the house?

 No
 Yes How much were your water bills for the last three months?
Month: _______________ Amount of bill: P________ (attach copy of bill)
Month: _______________ Amount of bill: P________ (attach copy of bill)
Month: _______________ Amount of bill: P________ (attach copy of bill)

Do you have a cable or satellite television subscription?  No  Yes

Do you have an Internet service subscription?  No  Yes

2.10. What is the classification of the house your family is staying in?
 Owned, not mortgaged
 Owned, mortgaged Monthly amortization: P________
 Rented Monthly rental: P________
 Rent free / Living with relatives
 Others, please specify: ______________________

2.11. What is the approximate floor area (in square meters) of the house your family is
staying in? ________ sq. m
How many bedrooms do you have? ___
How many toilets and bathrooms do you have? ___
Do you have flush toilets?  No  Yes
Do you have a swimming pool?  No  Yes

2.12. Which of the following are owned by your family?

How many? Year and Model
Sports utility vehicle (e.g., Honda CR-V) ___ ________________________
Car or van ___ ________________________
Asian utility vehicle (e.g., Toyota Revo) ___ ________________________
Pickup truck (e.g., Mitsubishi Strada) ___ ________________________
Owner-type jeep ___ ________________________
Truck ___ ________________________
Passenger jeepney ___ ________________________
Motorcycle ___ ________________________
Tricycle ___ ________________________

2.13. Does your father/stepfather/mother/stepmother/legal guardian/spouse have credit

card(s)?
 No
 Yes
What type of credit card?
 American Express
 Locally issued (e.g., HSBC MasterCard, PNB Visa, BPI Express Credit)

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2.14. What real estate properties are owned by, or registered in the name of, your
family?

Residential Lots

Area (in sq. m) Location (Municipality/City, Province) Market Value

____________ _________________________________ P____________
____________ _________________________________ P____________
____________ _________________________________ P____________

Do you earn income from these residential lots?

 No
 Yes How much per month? P________

Non-Residential Lots / Agricultural Lands

Area (in sq. m) Location (Municipality/City, Province) Market Value

____________ _________________________________ P____________
____________ _________________________________ P____________
____________ _________________________________ P____________

Do you earn income from these non-residential lots or agricultural lands?

 No
 Yes How much per month? P________

2.15. What buildings and/or houses are owned or rented out to others by your family?

Floor Area Location (Municipality/City, Province) Monthly Rental Market Value

(in sq. m)
________ ____________________________ P_________ P__________
________ ____________________________ P_________ P__________
________ ____________________________ P_________ P__________

Do you have boarders, lodgers, or bedspacers?

 No
 Yes How much is your total monthly income from boarding, lodging, or
bedspacing? P________

2.16. Are there special circumstances in your family which may help the University
evaluate your financial need?
 No
 Yes
State briefly the circumstances below:

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3. Vicinity Map of the Family Residence
Please indicate landmarks in your sketch.

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 Personal Statement of Assets and Liabilities of Parents/Legal Guardian/Spouse

I, ______________________________________, of legal age, single/married and a

resident of _____________________________________________________, hereby state:

1. That my family’s assets and liabilities as of 31 December 20__, are as follows:

(a) Assets
Personal Properties Cost

Savings P ________________
Stocks/Investments ________________
Vehicles ________________
Jewelry ________________
Furniture ________________
Appliances ________________
Others ________________

Total Personal Properties P ________________

Real Properties Market Value

Residential lands P ________________

Non-residential lands ________________
Residential buildings ________________
Non-residential buildings ________________

Total Real Properties P ________________

Total Assets P ________________

(b) Liabilities

P ________________
________________

Total Liabilities P ________________

(c) Net Worth (a) – (b)

Total Assets less Total Liabilities P ________________

2. That this personal statement is made to support the application for financial assistance
under the STFAP of _______________________________________.(name of student).

Date: ____________ ______________________________________

Printed Name of Parent/Legal Guardian/Spouse

______________________________________
Signature of Parent/Legal Guardian/Spouse

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Part C.Statements

1. Statement of the Applicant

I hereby certify, upon my honor, that all the data and information that I have furnished are
accurate and complete. I understand that any misinformation and/or withholding of
information will automatically disqualify me from receiving any financial assistance or
subsidy and may serve as grounds for my expulsion or disciplinary action from the
University. In addition, if such misinformation and/or withholding of information on my
part is discovered after I have been awarded the financial assistance or subsidy, I will be
required to reimburse all the financial benefits received plus interest at the legal rate
prevailing at the time of reimbursement without prejudice to the filing of charges against
me.

Moreover, I authorize the University to conduct a bank credit investigation and send a
fact-finding team to visit my home/residence to verify the veracity and accuracy of the
information provided in this application or to obtain additional information on my capacity
to pay and I will give my utmost cooperation in this regard. For the purpose of said
verification, I further authorize the fact-finding team to use still/digital camera and other
means to record the actual conditions or circumstances of our family. I understand that
my refusal to comply with any of the above-mentioned conditions may mean suspension
or withdrawal of STFAP benefits and privileges.

Date: ____________ __________________________

Signature of Applicant

2. Statement of the Applicant’s Parent/Legal Guardian/Spouse

I hereby certify that I have read the entire application form and that I certify to the
truthfulness and completeness of the information that my son/daughter/dependent/
spouse has furnished in this application together with all the documents attached. I
understand that any misinformation and/or withholding of information will automatically
disqualify him/her from receiving any financial assistance or subsidy and may serve as
grounds for his/her expulsion or disciplinary action from the University. I further recognize
that in signing this application form, I share with my son/daughter/dependent/ spouse the
responsibility for the truthfulness, accuracy, and completeness of the information
supplied herein.

Moreover, I authorize the University to conduct a bank credit investigation and send a
fact-finding team to visit my home/residence to verify the veracity and accuracy of the
information provided in this application and I will give my utmost cooperation in this
regard. For the purpose of said verification, I further authorize the fact-finding team to
use still/digital camera and other means to record the actual conditions or circumstances
of our family. I understand that my refusal to comply with any of the above-mentioned
conditions may mean suspension or withdrawal of STFAP benefits and privileges of my
son/daughter/dependent/spouse.

Date: ____________ ______________________________________

Printed Name of Parent/Legal Guardian/Spouse

______________________________________
Signature of Parent/Legal Guardian/Spouse

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 Acknowledgment

REPUBLIC OF THE PHILIPPINES ) S.S.

)

BEFORE ME, a Notary Public for and in the above jurisdiction, this _____ day of
______________, 20__, personally appeared ____________________________________
(name of parent/legal guardian/spouse) with Community Tax Certificate No. ___________
issued at ______________________ on ____________________, and
_______________________ (name of student if applicable), with Community Tax Certificate
No. ___________ issued at ______________________ on ____________________, known
to me to be the same person(s) who executed the foregoing instrument and acknowledged
to me that the same is their/his/her true act and deed.

IN WITNESS WHEREOF, I have hereunto set my hand and seal on the date and place
herein above stated.

NOTARY PUBLIC
Until December 31, 20__

Doc. No. _______

Page No. _______
Book No. _______
Series of 20__

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