Republic of the Philippines

ISABELA STATE UNIVERSITY

Ilagan City, Isabela 1X1
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SCHOLARSHIP CONTRACT

19-10729
I, ________________, CHERRY MAE B.BAYUCAN
______________________________________________________, BSN 2B
_______________________
Student No. Name of Student Course, Year & Sec.
SAGAT ST.SAN ISIDRO CITY OF ILAGAN ,ISABELA
___________________________________________________________________________ (Complete Home Address)
COLLEGE SCHOLARSHIP
Having been awarded that _________________________________________________________ (Name of Scholarship)
Scholarship Program effective _____
2ND semester, school year ____________
2020-2021 by ISABELA STATE UNIVERSITY-ILAGAN
and consideration of the privilege granted by reason of such assistance hereby accepts the said educational assistance
and binds myself to the following conditions:

That I shall:
1. Maintain excellent moral character and integrity;
2. Strive to obtain and maintain a general weight average of _________ 1.75 at the end of each semester.
3. Comply with all the rules and regulations promulgated by the Isabela State University, particularly on the following:
To enroll in the regular semester load prescribed in the approved curriculum for the course.
To have no failing, grades in all my enrolled subjects;
To submit my school records to the Office of Student Services (OSS) such as:
1. Copy of SK appointment of Certification from LGU if father or mother is an SB (for BODA Scholars).
2. Photocopy of N.S.O of Birth Certificate (for BODA/SK Scholars).
3. Photocopy of registration form. (Authenticated)
4. Photocopy of complete class cards: and/or certification of grades. (Authenticated)
5. Other pertinent documents required by the Scholarship Unit.
a. Failure to submit these requirements shall cause the temporary suspension of my educational assistance;
b. To report to Scholarship Sponsor in person as after as necessary and to submit papers as may by requested
6. That I accept any of the following to be sufficient cause for the termination of my educational assistance.
a. Found to be non-bonifide member/ officer of SK/ATHLETICS/BAND etc.
b. Violated any rules and regulations prescribed under University Scholarship Assistantship Program found
the University Handbook;
c. Found to have tampered or falsified the required documents;
d. Found to be physically and mentally until to continue my educational assistance;
e. Found to be engaging in any other university, government or private scholarship program;
f. Incurred failing grades in the previous semester;
g. Inability to complete/incomplete grades incurred during the previous semester within the prescribed period
allowed by the University;
h. Extension of the periods of completion of the course beyond that which is prescribed in the approved
curriculum of the school;
i. Commission of any act of immorality, drunkenness, dishonesty, discourtesy or any form of misconduct in
the violation of the norms and conduct prescribed under University Student handbook; and
j. Deliberate or wilful to pay just and valid obligation with the University.

That I accept the foregoing conditions with the full knowledge that failure to maintain the requirements of the Scholarship
Assistantship Program, or for reasons of my behavior or wilful of the established rules, regulation and policies by the
University, I shall lose my educational Assistance.

11-19-2021
I have hereunto affixed my signature this ________________________ in Isabela State University, City of Ilagan, Isabela

CHERRY MAE B.BAYUCAN

_____________________________________
Signature over Printed Name of the Scholar

CONFORME:

BENJAMIN P.BAYUCAN JR
Father: _______________________________ MARITA B.BAYUCAN
Mother:_______________________________
NONE
Occupation: ___________________________ OFW
Occupation: ___________________________
Contact Number: _______________________
NONE NONE
Contact Number: _______________________

RECOMMENDING APPROVAL:

GLORILYN B. ALEJANDRO, MAIE REMEDIOS R. LAMORENA, MAT ENGR. FREDDIE O. ORPERIA Ph.D.
Chief, Scholarship Dir., Student Affairs and Services Executive Officer
ISUI-OSS-SsC-012
Effectivity: January 3, 2017
Revision: 0