Province of Davao de Oro

OFFICE OF THE GOVERNOR

Davao de Oro Scholarship Program
Capitol Complex, Cabidianan, Nabunturan, Davao de Oro

DdOSP APPLICATION FORM

Personal Information
Name
Surname/ Family Name First Name Middle Name
Address
Purok Barangay Municipality

Date of Birth: Age: Sex: Civil Status:

Birth Place: Religion: Contact No.
Please check if you are: Non-IP IP (if you are an IP, please check your tribe)

Mansaka Mandaya Manobo Other Tribe (pls. specify)

Dibabawon Kagan Mangguangan ____________________

Please check if you are: Graduating Senior High School

Out-of-School Youth (OSY)
Lateral Entrants (Currently enrolled as 1 st year or 2nd year college)
Person with special needs (PWD) pls. specify ___________________________

Family Background Solo Parent Separated Parents Not Living with Parents Deceased Parent/s

Father’s Name:
Surname/ Family Name First Name Middle Name

Mother’s
Maiden Name:
Surname/ Family Name First Name Middle Name

Educational Background
Honors
Level Name of School Year Graduated
Received
Elementary
Secondary
 Junior
 Senior
Name of School Current Year (1st year or 2nd year) Course Enrolled
Tertiary (for lateral applicants only)

Name of School Last semester & Year Attended Course Enrolled

For OSY only
TVET/TESDA
College
Kindly answer briefly: HOW DO YOU FIND THE YOUTH OF TODAY?

I declare that the above-mentioned information has been accomplished by me and it is true, correct
and complete. I also authorize the DdOSP personnel to verify or validate the contents stated herein.

______________________________ ___________________________
Name and Signature Date
 Province of Davao de Oro
OFFICE OF THE GOVERNOR
Davao de Oro Scholarship Program
Capitol Complex, Cabidianan, Nabunturan, Davao de Oro

Name: _________________________________________
SURNAME FIRST NAME MIDDLE INITIAL NAME EXTENSION (JR./SR.)

Address: ____________________________________________
PUROK BARANGAY MUNICIPALITY EXAM PACKAGE NO. SET CODE SCORE

School:
_________________________________________

Please check the category of DdOSP scholarship you want to apply: Baccalaureate TVET

Direction: Please shade and darken the circle that corresponds to your answer. Avoid erasure.

A B C D A B C D A B C D A B C D
1. O O O O 26. O O O O 51. O O O O 76. O O O O
2. O O O O 27. O O O O 52. O O O O 77. O O O O
3. O O O O 28. O O O O 53. O O O O 78. O O O O
4. O O O O 29. O O O O 54. O O O O 79. O O O O
5. O O O O 30. O O O O 55. O O O O 80. O O O O
6. O O O O 31. O O O O 56. O O O O 81. O O O O
7. O O O O 32. O O O O 57. O O O O 82. O O O O
8. O O O O 33. O O O O 58. O O O O 83. O O O O
9. O O O O 34. O O O O 59. O O O O 84. O O O O
10. O O O O 35. O O O O 60. O O O O 85. O O O O
11. O O O O 36. O O O O 61. O O O O 86. O O O O
12. O O O O 37. O O O O 62. O O O O 87. O O O O
13. O O O O 38. O O O O 63. O O O O 88. O O O O
14. O O O O 39. O O O O 64. O O O O 89. O O O O
15. O O O O 40. O O O O 65. O O O O 90. O O O O
16. O O O O 41. O O O O 66. O O O O 91. O O O O
17. O O O O 42. O O O O 67. O O O O 92. O O O O
18. O O O O 43. O O O O 68. O O O O 93. O O O O
19. O O O O 44. O O O O 69. O O O O 94. O O O O
20. O O O O 45. O O O O 70. O O O O 95. O O O O
21. O O O O 46. O O O O 71. O O O O 96. O O O O
22. O O O O 47. O O O O 72. O O O O 97. O O O O
23. O O O O 48. O O O O 73. O O O O 98. O O O O
24. O O O O 49. O O O O 74. O O O O 99. O O O O
25. O O O O 50. O O O O 75. O O O O 100. O O O O

NOTE: You can utilize the space below in solving mathematical problem/s. 
 SOCIO-ECONOMIC PROFILE FORM FOR DDOSP APPLICANT

Name of Applicant:_____________________________________________ Control No: ________________

Address: ________________________________________ Sex: _________ Contact No: ________________
Age: ______ Course: ________________________ School: _______________________________________

A. EDUCATION
1. How many are you in the household?
Kindly fill-out the necessary information needed corresponding to the number in the household. (Start with the head of the family first down to the youngest
member of the household.)

No. Full Name Age Civil Highest School Type Status Salary Range for
Status Educational (Public/Private) (Working/Study Working Siblings
ing)
Attainment
1.

2.

3.

4.

5.

6.

7.

B. INCOME
Father’s Occupation: ____ Mother’s Occupation: ______
Annual Income Range Annual Income Range
________ P 129,999 and below P 129,999 and below
P 130,000 – P 179,999 P 130,000 – P 179,999
P 180,000 – P 229,999 P 180,000 – P 229,999
P 230,000 – P 279,999 P 230,000 – P 279,999
P 280,000 – P 329,999 P 280,000 – P 329,999
P 330,000 and above P 330,000 and above
C. HOUSING CHARACTERISTICS (Please check.)
1. Type of building occupied by your household: 7. Have water source? ________ Yes ________ No
________ a. single house (bungalow, nipa hut, two-storey, barong- 8. Type of fuel household used for cooking:
barong) ________ a. Electricity
________ b. duplex ________ b. Kerosene
________ c. apartment / rowhouse ________ c. LPG
________ d. condominium / condotel ________ d. Charcoal
________ e. relocation area / housing ________ e. Wood
2. Number of Bedrooms: ________ ________ f. Palay husk / wood shavings
3. Main construction material of the roof: 9. Presence of household conveniences / information &
________ a. Galvanized iron / aluminum communications technology (ICT) devices / vehicles (If present,
________ b. Concrete / clay tile kindly specify number)
________ c. Half-galvanized iron & half concrete A. Household Conveniences
________ d. Wood / bamboo ________ Refrigerator/freezer
________ e. Cogon / nipa / anahaw ________ Stove with Oven/Gas Range
________ f. Asbestos ________ Induction Cooker
________ g. Makeshift / salvaged / improvised material ________ Air Fryer
4. Construction materials of the outer walls ________ Microwave Oven
________ a. Concrete/brick/stone ________ Washing machine
________ b. Wood ________ Air conditioner
________ c. Half concrete/brick/stone & half wood ________ Electric fan & other cooling equipment
________ d. Galvanized iron / aluminum B. ICT Devices
________ e. Bamboo/cogon/nipa ________ Radio/radio cassette (AM, FM & Transistor)
________ f. Glass ________ Television
________ g. Makeshift / salvaged / improvised material ________ CD/DVD/VCD Player
________ h. Concrete hollow blocks ________ Audio component/stereo set/karaoke/videoke
5. Materials of the floor of the housing unit ________ Landline/wireless telephone
________ a. Ceramic tile/marble/granite ________ Cellular phone
________ b. Cement/brick/stone ________ Tablet
________ c. Wood plank ________ Personal computer (desktop, laptop, notebook, netbook &
________ d. Wood tile others)
________ e. Vinyl/carpet tile C. Vehicles
________ f. Linoleum ________ car
________ g. None ________ jeep
6. Have electricity? ________ Yes ________ No ________ motor cycle / motor scooter
Monthly Billing Range: ________ tricycl
________ Below P300 ________ pedicab
________ P301 to P500 ________ van
________ P501 to P700 ________ truck
________ P701 to P900 ________ bicycle
________ P901 to P1,100 ________ boat (M/N)
________ P1,101 and above

Source: CBMS of PSA

10. List down ownership of livestock, herds, poultry & other farm animals: _________________________________________

Insert photo of the house (outside)

Insert photo of the house (inside)

Remarks :

Name and signature of validator : ____________________________________

Date :_____________________________________

Source: CBMS of PSA