UniFASTTDPForm ANNEX "A"

2020 version (NOT FOR SALE)

Republic of the Philippines
Unified Student Financial Assistance System for Tertiary Education
REGIONAL OFFICE IV

UniFAST TULONG DUNONG PROGRAM (UniFAST-TDP)

APPLICATION FORM
Instructions. Read General and Documentary Requirements. Fill in all the required information. Do not leave an item blank Item is not applicable, indicate "NA".

PERSONAL INFORMATION

Aras Nildo Cervantes

Name (Last Name) (First Name) (Middle Name) Maiden Name
put extension if any ie. Jr., III (for Married Women)
Date of Birth
Permanent Address Zip Code
(mm/dd/yyyy)
July 29, 1999 5c Mahugany Street Villa Esperanza Mollino ll
Bacoor Cavite
Place of Birth
SOUTHERN LEYTE NA
Iniguihan Street Liloan
ILAG
Street & Barangay Town/City/Municipality Province

Sex Male Female Name of School Last Attended

CvSU Bacoor
Single Widowed School ID Number
18-01-0336
Civil Status Married Separate
School Address
Others
Mollino ll Bacoor Cavite
Citizenship School Sector ( ) Public ( ) Private
FILIPINO
Mobile Number Highest Attained Grade Year Level Tribal Membership
09664816419 3RD YEAR COLLEGE (if applicable)
E-mail Address Type of Disability
arasnildoc29@gmail.com (if applicable) NA
NA
FAMILY BACKGROUND
Father: () Living () Deceased Mother: () Living () Deceased
Name
Jaime C Aras
CELESTINA C. ARAS
Address
Ilag, liloan Southern Leyte Ilag, Liloan Southern Leyte
Occupation
Farmer and Carpenter HOUSE Wife
Educational Attainment
ELEMENTARY GRADUATE ELEMENTARY GRADUATE
Total Parents Gross Income No. of Siblings in the family.
NA (16 Children)

SchoolIntendedtoenrollorenrolledin: CvSU Bacoor Campus

SchoolAddress: Mollino 6 Bacoor Cavite

TypeofSchool:()Public()Private
DegreeProgram: BS CRIMINOLOGY
Type Grantee Institution/Agency
Areyouenjoyingothereducationalfinancialassistance?YesorNo Ifyes, TDP TES
2.
I hereby certify that foregoing statements are true and correct.
Aras Nildo C. 05/04/21
SignatureoverPrintedNameofApplicant DateAccomplished
Note: Fully accomplished form to be submitted to the CHEDRO
DO NOT FILL-OUT THIS PORTION FOR CHEDRO USE ONLY)
Belongto(anyofthefollowinggroups): Documents Attached
()dependentofsoloparent ReportCard
( ) senior citizens COR
()personswithdisabilities. pleasespecifytypeofdisability CertifiedTrueCopyOfGrades
()Indigenousandethnicpeoples. please specifymembership LatestITR
Total

Evaluated Processed by:

UniFAST Regional Coordinator

QUALIFICATIONREQUIREMENTSperSection5oftheUniFASTMemorandumCircular
No.02s.2021.
An applicant for this grant must be a Filipino citizen with a combined household
(parents/guardian) gross income which shall not exceed Four Hundred Thousand Pesos
(PhP400,000.00) and maybe classified as one of the following:
5.1 An Ongoing Grantee must be TDP-TES grantee in A.Y. 2019-2020 and is currently
enrolled in the First Semester of Academic Year 2020-2021, in any recognized curricular
programyearlevelinbothPublicandPrivateHEls,ongoingTDP-TESgranteesshallsubmit an
accomplished TDP-TES Application Form for updating purposes;and
5.2 New TDP-TES Grantees in AY 2020-2021 and the succeeding academic years must be
a Senior High School graduate; or an ongoing college student with earned units in CHED-
recognized programs of Private HEls, SUCs or LUCs with Certificate of Program
Compliance (COPC) with at least a passing general weighted average (GWA); or a passer
oftheAlternativeLearningSystems(ALS)/PhilippineEducationalPlacementTEST(PEPT).
NOTE: APPLICANT MUST NOT HAVE ANY AVAILMENT OF OTHERGOVERNMENT
FUNDEDASSISTANCEEXCEPTFREETUITIONFEEIFENROLLEDTOSUCSANDLUCs.
DOCUMENTARY REQUIREMENTS per Section 6 of the UniFAST Memorandum Circular No. 02 s. 2021.
6.2.1 ACADEMIC REQUIREMENTS
a. Qualified Incoming Freshmen students- Certified True Copy of Senior High School Report Card and
Certificate of Registration (COR) of school currentlyenrolled.
b. For applicants with Earned Units in College in CHED recognized programs of Private HEls, LUCs and SUCS
with COPC - duly certified true copy of grades for the latest term/semester attended and COR of school
currentlyenrolled.
c. For OtherApplicants
c.1 ALS Passer - duly certified copy of ALS Accreditation and Equivalency TEST Passer Certificate and COR of
school currently enrolled;and
c.2 PhilippineEducationalPlacementTest(PEPT)Passer-dulycertifiedcopyofPEPTCertificateadvancingto the
next level and COR of school currentlyenrolled
6.2.2 Income Requirement
The student-applicant shall submit any one of the following:
a: Latest copy of contract or proof of income, for the children of Overseas Filipino Workers and seafarers;
b. Case Study prepared and issued by the Municipal Social Welfare and Development Officer who must be a
licensed socialworker;
c. Latest Income Tax Return and Bureau of Internal Revenue Form 2316 for
fixed Income earners of parents/guardians, if employed;or
d. Certificate of Tax Exemption from the BIR of parents/guardian, if notemployed.