Professional Documents
Culture Documents
CHED Application Form - March
CHED Application Form - March
CHED Application Form - March
and
Office of the Presidential Adviser on the Peace Process (OPAPP)
APPLICATION FOR OPAPP-CHED STUDY GRANT PROGRAM
A.
Sex_____
Civil Status________________
Date of Birth: ______________________________
Place of Birth: _____________________________
B.
C.
________________________________________________________________________________________________
C1. To be accomplished by the former rebel
or member of a group
Affiliation:
D.
PERSONAL DATA
Last Name: ___________________________
First Name: ___________________________
Middle Name: _________________________
Sex: _____ Age: ______ Civil Status:_______
Date of Birth: _________________________
Place of Birth: _________________________
Relationship with the Former Rebel:________
MAILING/RESIDENTIAL ADDRESS
No./ Street: ___________________________
City/ Town: ___________________________
Province: _____________________________
Region: ______________________________
Phone No: ____________________________
Elementary:
Name of School _________________________
Location/Place: __________________________
Year Graduated: _________________________
Elementary:
Name of School_______________________
Location Place: _______________________
Year Graduated: ______________________
High School:
Name of School: _________________________
Location/Place:__________________________
Year Graduated:_________________________
High School:
Name of School: _____________________
Location/Place: _______________________
Year Graduated: ______________________
WAIVER
(If the applicant is the next-of kin)
I, __________________________, a former rebel or
member of ______ of legal age hereby waive the
scholarship slot under the OPAPP-CHED Study Grant
Program in favor of Mr./Ms./Mrs._________________
who is my _________________, the same person who
filled-up this Application Form.
_______________________________________
Signature over Printed Name of Former Rebel/
Member of a group
Date: _____________________________
CERTIFICATION
This is to certify that all information given
to this application for OPAPP-CHED Study Grant
Program are true and correct, any misrepresentation
on any part shall be sufficient ground for this application
be denied. If chosen as a scholar, I will abide by the
Rules and Regulations set forth by the CHED and OPAPP.
_____________________________________
Signature over Printed Name of the Beneficiary
Date: _________________________________
SUBMITTED DOCUMENTS
Personal letter (designation of beneficiary)
Form 138 (High School Report Card)
Certification signed by the principal (if currently a 4th yr HS student)
Copy of Transcript of Records (if already earned units in college)
Authenticated copy of Marriage Contract ( if Applicant is spouse)
Authenticated copy of Birth certificate (if Applicant is the next-of-kin)
For Former Rebels (FR)
Copy of amnesty certificate, Military/ DND Authentication, Joint Validation and
Authentication Certificate (JVAC)
For individual members of group
Endorsement from the group and OPAPP- Program Management Office
1x 1
Picture of the
Applicant
Affix Signature on
the left side of the
picture
Right Thumbmark
(Applicant)