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App No: 2020-05-02 132012-

Form No. 1
U
O ce of the President of the Philippines
COMMISSION ON HIGHER EDUCATION
REGIONAL OFFICE VIII
 
 
CHED STUDENT FINANCIAL ASSISTANCE PROGRAMS (StuFAPs)
APPLICATION FORM
 
 

PERSONAL INFORMATION

SURIO Archie Ching

Name
(Last Name) (First Name) (Middle Name)

Date of Bi h 2000-02-10 Street/Baranggay Catangcas St, Barangay 5

Place of Bi h Pambujan No hern Samar Town Pambujan

Sex Female Province No hern Samar

Contact No. 09073754711 District 2nd

Email Archiesurio52@gmail.com Zip Code 6413

FAMILY BACKGROUND

Father: () Living () Deceased Mother: () Living () Deceased

Name Charlie Tuballas Surio Rona Petalbo Ching

Address Pambujan No hern Samar Pambujan No hern Samar

Occupation Regular Maid

Highest Educational
Collage Graduate Collage Graduate
A ainment
Parents Combined Annual
5,000.00 No. of Siblings 4
Gross Income
Guardian: (if applicable)
Guardian's Annual
Guardian's Name
Gross Income
Guardian's Occupation

Guardian's Address

ACADEMIC INFORMATION

Applicant's Type A-SH/HS Graduate Year Level in 2020-2021 1

Name of High School
Pambujan National High School GWA 84
Graduated
Bachelor of Science in Environmental
College EASTERN SAMAR STATE UNIVERSITY - MAIN Course/Course to take
Science

OTHERS

YES NO

 Indigenous People (IP) (Ethnic Group ex. Ayta, Negritos, Etc.)

 Solo Parent (Parent of Applicant)

 Persons with Disabilities (PwDs)

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Documentary Requirements
Academic Requirements
A. For All Applicants:
   1. The printed Application Form from your online application
   2. 2 pcs. 2"x2" ID picture
   3. Parents'/Guardians'Proof of Income (whichever is applicable)
> Latest Income Tax Return (ITR) of parents or guardian
> Ce i cate of Tax Exemption from the Bureau of Internal Revenue (BIR)
> Ce i cate of Indigency with Gross Annual Income of parent/guardian issued by the Barangay Chairman
> A davit of No Income or Case Study from DSWD
> For children of Overseas Filipino Workers (OFW) and Seafarers, a latest copy of contract or proof of income
may be considered

B. For Incoming Freshmen:

   1. For Graduating Senior High School applicants – (a) 1st Semester Senior HS Grades AND (b) Ce i cate of
Good Moral Character
   2. For Senior High School Graduates – (a) Form 137 AND (b) Ce i cate of Good Moral Character

C. For Applicants with Earned Units in College - (a) Ce i cate of grades in all subjects in completed semesters
AND (b) Ce i cate of Good Moral Character D. Other Applicants
   1. For ALS Passers- Accreditation and Equivalency Test Passer Ce i cate
   2. For PEPT Passers - Ce i cate of Advancing to the Next Level

E. For Applicants with single-parent, also submit Solo-Parent ID or Ce i cation from Depa ment of
Social Welfare and Development, if applicable
F. For applicants belonging to an Ethnic Group, also submit Ce i cate from National Commission on
Indigenous Peoples (NCIP)
G. For PWD applicants, also submit Medical Ce i cate
H. For applicants living with a guardian, also submit A davit of Guardianship
   1. For ALS Passers- Accreditation and Equivalency Test Passer Ce i cate
   2. For PEPT Passers - Ce i cate of Advancing to the Next Level

Other Requirements
I. Proof of Income (whichever is applicable)
   1. Latest Income Tax Return (ITR) of parents or guardian
   2. Ce i cate of Tax Exemption from the Bureau of Internal Revenue (BIR)
   3. Ce i cate of Indigency from their Barangay with Gross Annual Income
   4. Case Study from DSWD or A davit of No Income
   5. For children of Overseas Filipino Workers (OFW) and Seafarers, a latest copy of contract or proof of income
may be considered

II. Ce i cate of Good Moral Character

   1. If High School Graduate - High School Ce i cate of Good Moral Character
   2. If with College Units - College Ce i cate of Good Moral Character

III. For Applicants with single-parent, Solo-Parent ID or Ce i cation from Depa ment of Social Welfare and
Development
IV. Ce i cate from National Commission on Indigenous Peoples (NCIP) for applicants belonging to an Ethnic Group (IPs)
V. Medical Ce i cate for PWD applicants
VI. If living with the guardian, please provide A davit of Guardianship

Procedure:
1. Fill-in the Scholarship Application Form online at h ps://www.chedro8stufap.com (Application period is from February
1, 2019 to April 30, 2019 only)
2. Print your accomplished application form from your online application.
3. Check the status of your online application (whether it's uploaded in the system or not). Posting is done daily (except
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on Saturdays, Sundays, and other non-working days) at h ps://www.facebook.com/chedro8.stufap OR

h ps://www.facebook.com/chedro8.gov.ph
4. If your name is on the list of successfully uploaded applications, prepare the above-mentioned documentary
requirements to be submi ed to CHED Regional O ce VIII (a er 3 to 5 days)

Impo ant Reminder! ALL DOCUMENTS IN PHOTOCOPIES MUST BE CERTIFIED TRUE COPIES
5. Submit your documents to CHEDRO VIII through any of the following:
a. Courier (e.g. LBC, JRS, 2Go, etc.) using the address below:
Commission on Higher Education - Regional O ce VIII
A ention: StuFAP Unit
Athletic Road, Brgy. 43-B Quarry District
Tacloban City, Leyte 6500
Tel. No. (053) 888-1343
b. Scholarship Coordinator of the School where you intend to Enroll
c. Personally hand-carried to CHEDRO VIII O ce (for those who reside in Tacloban City or in nearby Municipalities)

Note: The application for nancial assistance is completed only a er the documentary requirements validation by
CHEDRO8. All applications will be subjected to the ranking process in accordance with CHED Guidelines. Results of the
ranking process will also be posted at h ps://www.facebook.com/chedro8.stufap OR
h ps://www.facebook.com/chedro8.gov.ph

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