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  • UnderGrad Tuition Fee Discount

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    TIPAY, EMELIE L.
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    This document is a tuition fee discount application form for students of the University. It requests personal information such as name, address, birthdate, course, and contact details. It also requests information about parents/guardians such as their employer and years of service. Documents that need to be submitted with the application are listed. The form allows the student to check which type of scholarship they are applying for such as for service, city government employees, or University employees. Space is provided for the application to be checked and verified by scholarship and University staff and approved by the acting University president.

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    This document is a tuition fee discount application form for students of the University. It requests personal information such as name, address, birthdate, course, and contact details. It also requests information about parents/guardians such as their employer and years of service. Documents that need to be submitted with the application are listed. The form allows the student to check which type of scholarship they are applying for such as for service, city government employees, or University employees. Space is provided for the application to be checked and verified by scholarship and University staff and approved by the acting University president.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    11 views1 page

    UnderGrad Tuition Fee Discount

    Uploaded by

    TIPAY, EMELIE L.
    This document is a tuition fee discount application form for students of the University. It requests personal information such as name, address, birthdate, course, and contact details. It also requests information about parents/guardians such as their employer and years of service. Documents that need to be submitted with the application are listed. The form allows the student to check which type of scholarship they are applying for such as for service, city government employees, or University employees. Space is provided for the application to be checked and verified by scholarship and University staff and approved by the acting University president.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    ◻ Old ◻ New

    TUITION FEE DISCOUNT FOR STUDENTS


    APPLICATION FORM 1X1 PICTURE

    A.Y. 20__- 20__ ◻ 1st Semester ◻ 2nd Semester

    PERSONAL INFORMATION
    Last Name: ________________________First Name: ________________________MI_______ Course & Year:
    ___________
    Address: ___________________________________________________________________________________________
    Birth date: __________________________Sex: _____________________Religion:_______________________________
    Contact Number: ____________________________________________________________________________________
    Name of Parents/ Guardian: ___________________________________________________________________________
    Employer: ____________________________________________________Years in Service: ________________________
    Their Address: ______________________________________________________________________________________

    Documents Submitted: ◻Registration Form ◻ Certification ◻Brgy. clearance


    ◻Birth Certificate ◻Grades ◻Others: ___________________
    DISCOUNT APPLIED FOR: Check the type of scholarship you are applying for:
    ◻ Service Scholarships ◻ UCU-SP Educational Grant ◻ Editorial Board
    ⚪ Student Assistant ◻ Brgy. Official’s Beneficiary ⚪ SGO
    ⚪ Music Ensemble ◻ Alternative Learning System ⚪ The University Scribe
    ⚪ PCCA ◻ Loyalty Benefit ◻ Alumni Association
    ⚪Athletic ___ No. of Students Enrolled ◻ PNP/BFP Beneficiaries
    ⚪Drum & Bugle Corps. ◻ PWD Benefit ◻ UCU-AFP Educational Benefit Program
    ◻ City Gov’t Employee’s son/daughter ◻ Sangguniang Kabataan
    ___ No. of Years in Service ⚪ SK Chairman ◻ UCU Employee/Employee’s son/daughter
    ⚪ SK Kagawad ___ No. of
    Years in Service

    Checked: Verified by:

    CINDY E. BARROGA, MBA NHORLY U. DOMENDEN


    Overall Scholarship Coordinator Director, Center for Student Leadership and
    Development

    Recommending Approval: Approved by:

    ELISA C. CRISTOBAL, Ph.D. ATTY. DAR A. DIGA


    Vice President for Administration Acting University President

    DISCOUNT GRANTED: ___________


    - - - - - - - - - - -- - - - - - - - - - - - - -- - - - - - - - - - - - - -- - - - - - - - - - - - - -- - - - - - - - - - - - - -- - - - - - - - - - - - - -- - - - - - - - - - - - -

    TUITION FEE DISCOUNT FOR STUDENTS


    CLAIM STUB

    ____Semester A.Y. 20__-20__

    Name: ________________________________________________________ Course & Year: ______________________


    Address: _______________________________________________________Birth date: __________________________
    Contact Number: ____________________________
    TYPE OF SCHOLARSHIP:________________________________________________
    DISCOUNT GRANTED:______________
    Date Claimed:___________________ Received By:

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