Republic of the Philippines
Province of South Cotabato
OFFICE OF THE PROVINCIAL GOVERNOR
KABUGWASON PAGLAUM SCHOLARSHIP AND GRANT-IN-AID PROGRAMS
Provincial Capitol Compound, City of Koronadal
SCHOLARSHIP REQUIREMENTS CHECKLIST KPSGIAP COPY
FINAL RANK:
REGULAR COLLEGE/LADDERIZED DEGREE
Name of Applicant:
Last Name First Name M.I.
Date Application was
Received: AC#:
1 Thoroughly accomplished Application Form 1
2 One recent passport size photograph;
3 Application letter addressed to the Provincial
Governor thru the PSGIAP Committee Chairperson;
4 Punong Barangay Certification that:
(a) applicant is a bonafide resident of the barangay since
birth or for a period of not less than 1 year (indicate the
number of years);
(b) that the applicant is of good moral character;
(c) that the applicant has no derogatory record;
(d) that there is no civil or criminal record pending or resolved
against the applicant on the date of the application;
5 Certified True Copy of PSA-issued Birth Certificate (present
original);
6 Certificate of Good Moral Character from the school
last attended;
7 Latest certified photocopy of the applicants’ or their parents’
or guardians’ BIR Income Tax Return, or if not available, a
Barangay Certification that the applicant belongs to an
indigent family, stating the annual income of the family;
8 Certified photocopy of Senior High School Report Card (1st
and 2nd Semester) (present original);
9 Certificate of Enrollment/ Statement of Account; (to be
submitted before the conduct of Orientation and
Memorandum of Agreement Signing)
10 Certified photocopy of the applicants’ and their parents' or
guardians’ voter's ID or voter's certificate (present original);
11 Certificate of No Scholarship availed from any private/public
institutions as certified by the school where the applicant is
enrolled (to be submitted before the conduct of
Orientation and Memorandum of Agreement Signing)
12 Sketch Map of applicant’s residence address indicating
visible landmarks;
13 For Category B (PWD) applicants, Certification from the
City/Municipal Health Officer and recommendation from the
City Social Welfare Development/Municipal Social Welfare
Development officer that the applicant is a Person with
Disability (the PWD ID must be presented);
14 For Category C (IP) applicants, Certificate of Confirmation
(COC) issued by the NCIP Regional/Provincial Office proving
that the applicant is a member of the Indigenous Peoples
community;
15 For Category D (Muslim) applicants, Certificate of
Confirmation (COC) issued by the National Commission on
Muslim Filipinos (NCMF) proving that the applicant is a
member of the Indigenous Peoples community;
16 16. For Category E (Solo Parent) applicants, photocopy of
the applicant’s solo parent ID from the Municipal/City Social
Welfare Development (present original);
17 17. For Category F applicants, a Certification from the school
principal that the applicant won the highest award in any
national or international competition with photocopies of
supporting certificates or citations, pictures of medals and
trophies.
18 18. Documents commending the applicants’ academic
performance and/or notable extra-curricular non-academic
achievements, and other pertinent documents as may be
requested by PSGIAC.
FINDINGS: RANK: GWA:
COMPLETE EXAM SCORE: CFI:
INCOMPLETE NCF:
DEFICIENCIES/ REMARKS
1 4
2 5
CHECKED BY:
TECHNICAL WORKING COMMITTEE STAFF
Date:
Time:
FB:KABUGWASON PAGLAUM SCHOLARSHIP AND GRANT-IN-AID PROGRAM
Email: pgsocotkpsgiap2020@gmail.com
Tel. Number: 083-228-2631
Mobile Number: 09319745315
Republic of the Philippines
Province of South Cotabato
OFFICE OF THE PROVINCIAL GOVERNOR
KABUGWASON PAGLAUM SCHOLARSHIP AND GRANT-IN-AID PROGRAMS
Provincial Capitol Compound, City of Koronadal
SCHOLARSHIP REQUIREMENTS CHECKLIST APPLICANT"S COPY
FINAL RANK:
REGULAR COLLEGE/LADDERIZED DEGREE
Name of Applicant:
Last Name First Name M.I.
Date Application was
Received: AC#:
1 Thoroughly accomplished Application Form 1
2 One recent passport size photograph;
3 Application letter addressed to the Provincial
Governor thru the PSGIAP Committee Chairperson;
4 Punong Barangay Certification that:
(a) applicant is a bonafide resident of the barangay since
birth or for a period of not less than 1 year (indicate the
` number of years);
(b) that the applicant is of good moral character;
(c) that the applicant has no derogatory record;
(d) that there is no civil or criminal record pending or resolved
against the applicant on the date of the application;
5 Certified True Copy of PSA-issued Birth Certificate (present
original);
6 Certificate of Good Moral Character from the school
last attended;
7 Latest certified photocopy of the applicants’ or their parents’
or guardians’ BIR Income Tax Return, or if not available, a
Barangay Certification that the applicant belongs to an
indigent family, stating the annual income of the family;
8 Certified photocopy of Senior High School Report Card
(1st and 2nd Semester) (present original);
9 Certificate of Enrollment/ Statement of Account; (to be
submitted before the conduct of Orientation and
Memorandum of Agreement Signing)
10 Certified photocopy of the applicants’ and their parents' or
guardians’ voter's ID or voter's certificate (present original);
11 Certificate of No Scholarship availed from any private/public
institutions as certified by the school where the applicant is
enrolled (to be submitted before the conduct of
Orientation and Memorandum of Agreement Signing)
12 Sketch Map of applicant’s residence address indicating visible
landmarks;
13 For Category B (PWD) applicants, Certification from the
City/Municipal Health Officer and recommendation from the
City Social Welfare Development/Municipal Social Welfare
Development officer that the applicant is a Person with
Disability (the PWD ID must be presented);
14 For Category C (IP) applicants, Certificate of Confirmation
(COC) issued by the NCIP Regional/Provincial Office proving
that the applicant is a member of the Indigenous Peoples
community;
15 For Category D (Muslim) applicants, Certificate of
Confirmation (COC) issued by the National Commission on
Muslim Filipinos (NCMF) proving that the applicant is a
member of the Indigenous Peoples community;
16 16. For Category E (Solo Parent) applicants, photocopy of the
applicant’s solo parent ID from the Municipal/City Social
Welfare Development (present original);
17 17. For Category F applicants, a Certification from the school
principal that the applicant won the highest award in any
national or international competition with photocopies of
supporting certificates or citations, pictures of medals and
trophies.
18 18. Documents commending the applicants’ academic
performance and/or notable extra-curricular non-academic
achievements, and other pertinent documents as may be
requested by PSGIAC.
FINDINGS: RANK: GWA:
COMPLETE EXAM SCORE: CFI:
INCOMPLETE NCF:
DEFICIENCIES/ REMARKS
1 4
2 5
CHECKED BY:
TECHNICAL WORKING COMMITTEE STAFF
Date:
Time:
FB:KABUGWASON PAGLAUM SCHOLARSHIP AND GRANT-IN-AID PROGRAM
Email: pgsocotkpsgiap2020@gmail.com
Tel. Number: 083-228-2631
Mobile Number: 09319745315