Scribd Logo
Upload

Welcome to Scribd!

  • 73 views

    Iskolar NG Probinsya Form-1

    Uploaded by

    Gabrielle Magdaraog
    The document is an application form for a scholarship program from the Province of Northern Samar, Philippines. It requests information such as the applicant's name, date of birth, contact details, parents' occupation and income, and school details. For new applicants, it requires certified copies of registration certificates and certificates of residency, moral character, and indigency. Renewal applicants need certified grade reports and registration certificates, as well as certifications of community service. The completed form is to be submitted in duplicate to the scholarship committee.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content

    You might also like

    Iskolar NG Probinsya Form-1

    Uploaded by

    Gabrielle Magdaraog
    73 views6 pages
    The document is an application form for a scholarship program from the Province of Northern Samar, Philippines. It requests information such as the applicant's name, date of birth, contact details, parents' occupation and income, and school details. For new applicants, it requires certified copies of registration certificates and certificates of residency, moral character, and indigency. Renewal applicants need certified grade reports and registration certificates, as well as certifications of community service. The completed form is to be submitted in duplicate to the scholarship committee.

    Original Description:

    Original Title

    Iskolar ng Probinsya form-1

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    The document is an application form for a scholarship program from the Province of Northern Samar, Philippines. It requests information such as the applicant's name, date of birth, contact details, parents' occupation and income, and school details. For new applicants, it requires certified copies of registration certificates and certificates of residency, moral character, and indigency. Renewal applicants need certified grade reports and registration certificates, as well as certifications of community service. The completed form is to be submitted in duplicate to the scholarship committee.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    73 views6 pages

    Iskolar NG Probinsya Form-1

    Uploaded by

    Gabrielle Magdaraog
    The document is an application form for a scholarship program from the Province of Northern Samar, Philippines. It requests information such as the applicant's name, date of birth, contact details, parents' occupation and income, and school details. For new applicants, it requires certified copies of registration certificates and certificates of residency, moral character, and indigency. Renewal applicants need certified grade reports and registration certificates, as well as certifications of community service. The completed form is to be submitted in duplicate to the scholarship committee.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 6

    Republic of the Philippines

    PROVINCE OF NORTHERN SAMAR


    2/F New Provincial Capitol
    --- Catarman ---

    NORTEHANON: MARIG-ON, MAINUSWAGON, MALIPAYON

    APPLICATION FORM
    2x2
    ISKOLAR NG PROBINSYA ID PHOTO

    Note: Please fill out the application form and submit in duplicate to the PGNS Scholarship Committee

    New Renewal School Year 20__-20____ 1st Semester 2nd Semester

    Name : ________________________________________________________________Sex:_______________Age:________
    Date of Birth: _________________________________________Citizenship:_________________Civil
    Status:____________
    Mobile No. :___________________________________Email Address:___________________________________________
    House No./Street :____________Brgy:__________________Municipality:__________________________, Northern Samar
    Course:____________________________________________Year Level
    (Present) :_________________________________
    School Name:___________________________________________________________Student ID #: ___________________

    NAME OF PARENTS OCCUPATION EMPLOYER ANNUAL INCOME


    FATHER:
    MOTHER:

    _______________________________ _________________________
    Applicant’s Signature Date

    ATTACHMENTS: (FOR NEW APPLICANTS)

    CERTIFIED TRUE COPY OF THE CERTIFICATE OF REGISTRATION (COR) 1st SEMESTER 2021-2022
    AUTHENTICATED WITH CERTIFIED TRUE COPY (2 copies)

    CERTIFICATE OF RESIDENCY AND CERTIFICATE OF GOOD MORAL CHARACTER from the Office
    of the Mayor or Barangay Captain (2 copies)

    CERTIFICATE OF INDIGENCY from the Municipal Social Welfare Development Office or Provincial Social
    Welfare Development Office (2 copies)

    ATTACHMENTS: (FOR RENEWAL)

    CERTIFIED TRUE COPY OF REPORT OF GRADES of the previous semester, to be obtained from the School
    Registrar/ Admission Officer (2 copies) 1st SEMESTER 2020-2021 CERTIFIED TRUE COPY (2 COPIES)

    CERTIFIED TRUE COPY OF CERTIFICATE OF REGISTRATION of the current semester, to be obtained


    from the School Registrar/ Admission Officer (2 copies) 2 nd SEMESTER 2020-2021 AUTHENTICATED WITH
    CERTIFIED TRUE COPY (2 COPIES)

    5 CERTIFICATION COMMUNITY SERVICE

    Received by:_______________________ Date:______________________


    CERTIFIED AS TO THE COMPLETENESS OF REQUIREMENTS
    Republic of the Philippines
    PROVINCE OF NORTHERN SAMAR
    2/F New Provincial Capitol
    --- Catarman ---

    NORTEHANON: MARIG-ON, MAINUSWAGON, MALIPAYON

    APPLICATION FORM
    2x2
    ISKOLAR NG PROBINSYA ID PHOTO

    Note: Please fill out the application form and submit in duplicate to the PGNS Scholarship Committee

    New Renewal School Year 20__-20____ 1st Semester 2nd Semester

    Name : ________________________________________________________________Sex:_______________Age:________
    Date of Birth: _________________________________________Citizenship:_________________Civil
    Status:____________
    Mobile No. :___________________________________Email Address:___________________________________________
    House No./Street :____________Brgy:__________________Municipality:__________________________, Northern Samar
    Course:____________________________________________Year Level
    (Present) :_________________________________
    School Name:___________________________________________________________Student ID #: ___________________

    NAME OF PARENTS OCCUPATION EMPLOYER ANNUAL INCOME


    FATHER:
    MOTHER:

    _______________________________ _________________________
    Applicant’s Signature Date

    ATTACHMENTS: (FOR NEW APPLICANTS)

    CERTIFIED TRUE COPY OF THE CERTIFICATE OF REGISTRATION (COR) 1st SEMESTER 2021-2022
    AUTHENTICATED WITH CERTIFIED TRUE COPY (2 copies)

    CERTIFICATE OF RESIDENCY AND CERTIFICATE OF GOOD MORAL CHARACTER from the Office
    of the Mayor or Barangay Captain (2 copies)

    CERTIFICATE OF INDIGENCY from the Municipal Social Welfare Development Office or Provincial Social
    Welfare Development Office (2 copies)

    ATTACHMENTS: (FOR RENEWAL)

    CERTIFIED TRUE COPY OF REPORT OF GRADES of the previous semester, to be obtained from the School
    Registrar/ Admission Officer (2 copies) 2nd SEMESTER 2020-2021 CERTIFIED TRUE COPY (2 COPIES)

    CERTIFIED TRUE COPY OF CERTIFICATE OF REGISTRATION of the current semester, to be obtained


    from the School Registrar/ Admission Officer (2 copies) 1 st SEMESTER 2021-2022 AUTHENTICATED WITH
    CERTIFIED TRUE COPY (2 COPIES)

    5 CERTIFICATION COMMUNITY SERVICE

    Received by:_______________________ Date:______________________


    CERTIFIED AS TO THE COMPLETENESS OF REQUIREMENTS

    You might also like