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Iskolar NG Bataan Application Form PDF
Iskolar NG Bataan Application Form PDF
APPLICATION DATE: M M D D Y Y Y Y
APPLICATION FORM
RECENT
PHOTO
2x2
20 ANNUAL INCOME:
21 NAME OF MOTHER
LAST NAME FIRST NAME MIDDLE NAME 22 DATE OF BIRTH 23 CELLPHONE NO. Occupation
24 ANNUAL INCOME:
25 GUARDIAN (In cases of Deceased Parents )
LAST NAME FIRST NAME MIDDLE NAME 26 DATE OF BIRTH 27 CELLPHONE NO. Occupation
28 ANNUAL INCOME:
29 OTHER FAMILY MEMBERS
Name Relationship Date of Birth Name Relationship Date of Birth
1 4
2 5
3 6
v
30 EDUCATION Name of School Year Graduated Course / Honors Received
ELEMENTARY
HIGH SCHOOL
COLLEGE (if any)
I'm currently enrolled at: SCHOOL: YEAR:
COURSE: Regular? Yes No
31 Are you a WORKING STUDENT? Yes No (If Yes, please fill up the necessary fields below )
Date Started Position Department / Agency Monthly Salary Status of Appointment
34 I hereby declare under oath that the information given above are true and correct to the best of my personal knowledge.
ACKNOWLEDGEMENT RECEIPT
MIDDLE NAME
RECEIVED BY: (SIGNATURE OVER PRINTED NAME)
THIS APPLICATION FORM IS NOT FOR SALE
1. Application Form
2. Letter of intent for applying Iskolar ng Bataan
3. Two (2) pcs. 2X2 Recent Colored Picture
4. Comelec ID/ Registration / Certification of Parents Brothers and/or Sisters of
voting age
5. For High School: Photocopy of Report Card (Form 138) duly certified by the
high school principal with minimum average of 80%
6. For College: 1st Semester & 2nd Semester Latest Grades with minimum
average of 2.50
7. Photocopy of Birth Certificate