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2019 LANI Renewing Form PDF
2019 LANI Renewing Form PDF
____ Honors (Top ______ of the batch) ____ Priority ____ SUC/LCU
____ Premier ____ Basic Scholarship ____ Basic Plus
No. of Semesters that you have benefited from the Scholarship _____________
CHECKLIST OF REQUIREMENTS TO BE SUBMITTED:
_____ Voter’s Certification issued by COMELEC,
_____ Filled-up Application Form with 2X2 Recent Picture showing that at least one of the parents of the applicant is a
_____ Enrolment Form for Current Semester/Term with registered voter (Issued after the May 13,2019 election)
Official Receipt, if applicable _____ Voter's Certification of the applicant if 18 years old and above
_____ Authenticated or True Copy of Grades last semester, (Issued after the May 13,2019 election)
with school seal/official signature (for trimester, grades _____ Birth Certificate
for the past 2 terms) _____ Other necessary documents to facilitate the processing of your
_____ Certificate of Good Moral Character scholarship application(Transcript or True Copy of Grades
(Issued within the school year) since start of college for New Applicants who are continuing
_____ School ID (back to back photocopy in a single page) students, F137, Course Curriculum, PDAO Endorsement
and ID(for PWD Scholar), etc.
PERSONAL INFORMATION
I hereby certify that ALL the answers given above are TRUE and CORRECT to the best of my knowledge, and the attached
documents are FAITHFUL REPRODUCTION of the original copies.I further acknowledge that ANY ACT OF DISHONESTY OR
FALSIFICATION MAY BE A GROUND FOR MY DISQUALIFICATION from this scholarship program.
I also understand that this submission of application does NOT automatically qualify me for the scholarship grant and
that I will abide by the decision of the L.A.N.I. Scholarship Management.
_________________________________________________________________
Printed Name & Signature of Applicant Date: __________________________________________
Attested by: