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SIKAP PT: FORM D

<<LETTERHEAD OF THE HIGHER EDUCATION INSTITUTION>>

ENDORSEMENT AND PERMIT TO STUDY


Application for the Part-Time Study under the SIKAP Grant

This is to certify that <<Name of Applicant>> is a <<Full-time/Part-time>> <<Status of


Employment1>> <<Teaching/Non-Teaching>> Personnel of the <<Name of Higher
Education Institution>>. He/She was hired on <<date started>> and <<taught/served> in
the <<Department/Office>> under the <<College/School/Office>>. He/She has been with
the <<Name of Higher Education Institution>> for <<total years of service>>.

<<Name of Applicant>> with the current rank of <<Rank2>> has been allowed to pursue
and complete a graduate degree on part-time study for a period of <<number>> of years,
as endorsed by the <<Faculty and Staff Development Committee or its equivalent>>
(see attached endorsement).

This certificate is issued at the request of <<Name of Applicant>>, and issued this <<Date
of Issuance>> to be used for the Part-Time Study under the Scholarships for Staff and
Instructors’ Knowledge Advancement Program (SIKAP) Grant.

Prepared by: :

______________________________
<<Signature over Printed Name>>
Head of the Human Resource Office
<<Office/Department>>
<<Dry Seal, if applicable>>

Recommended by:

______________________________
<<Signature over Printed Name>>
<<Head of Institution or its equivalent>>
<<Name of Office>>
<<Dry Seal, if applicable>>

Note: Attach the endorsement from the Faculty and Staff Development Committee or
its equivalent when submitting this form.

1 Regular / Plantilla, Probationary / Temporary, Contractual / Contract of Service, Separated / Unemployed


2 Professor, Associate Professor, Instructor, Lecturer, Guest Lecturer, Dean, Director, Registrar etc

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