Republic of the Philippines

QUEZON CITY
YOUTH DEVELOPMENT OFFICE

QUEZON CITY UNIVERSITY SCHOLAR

PROFILE FORM
STUDENT’S SCHOOL ID NUMBER GRADUATING: ( ___ ) YES ( ___ ) NO Years of your course/ program QC CITIZEN ID NUMBER
EXPECTED YEAR TO GRADUATE: that you are taking:
134 000 00139951 00
( ) 2years ( ) 4years ( ) 5 years 1X1
Instructions: Fill in all the required information. DO NOT leave an item blank. If item is not applicable, indicate “N/A”. All applications
must be filed PERSONALLY by applicant.
PHOTO
A. Personal Information
Last Name A L I Ext Name M.I
Ñ A B O N i.e JR/SR, if any N/A (D,P, or DP)

First Name G A B R I E L Sex Female Male

Middle Name S A H G U N Civil Status SINGLE
(e.g.De La Paz )
A
Date of Birth (MM/DD/YYYY) Place of Birth (City/Municipality) Religion / Sect Are you a YES Height(m) Weight(kg)
Registered Voter
- 1 7 - TARLAC CITY CHRISTIAN (if YES, write since NO 1.67 50
0 7 1 9 9 9 what YEAR?)
Are you a Person with Disability? If yes, specify:
B. Current Demographic Data
Present Address #24D HR Ocampo Pook Amorsolo Street UP Diliman QC Barangay District City Zip Code
Permanent Address #24D HR Ocampo Pook Amorsolo Street UP Diliman QC Barangay District City Zip Code
Landline Number - Mobile Number - -
Email Address alinabong.qcydoqcu@gmail.com Facebook Account
C. Family Economic Data
Income Earner in the Family Estimated Monthly Income Occupation:
(Name-Relationship) Francis M. Aliñabon Company Name:
Highest Educational No. of Sibling/s
Relationship Name Occupation
Attainment
No. of Sibling/s who
Father’s Name became/current Scholar

Mother’s Name
D. Last School Attended Data (THIS QUESTION IS FOR NEW SCHOLARS ONLY!) Senior High School College
Name of School Basic Education / Highest Academic Award or School Years Attended GWA
(Write in full) Degree / Course Honor Received From To GENERAL WEIGHTED
(Write in full) AVERAGE

E. Active Community Involvement / Affiliation

Name of Organization Position Inclusive Dates Nature of Organization
N/A
F. Scholarship Status
NEW SCHOLAR RENEWED SCHOLAR PREVIOUS SEMESTER CURRENT SEMESTER
1st Semester & Year 2020 -2021 (THIS IS FOR RENEWED SCHOLARS) S
Accommodated in Scholarship Program 2nd Semester Academic Year 2019 - 2020
Batch No. Campus: Year Level: GWA: Year Level: GWA:
29 (General Weight Average) (General Weight Average)
Course Name: Bachelor of Science in 2nd Year 3rd Year
(WRITE IN FULL)

REMINDER: This Profile Form will be invalid without your Signature

I hereby to certify that the above Received by: Interviewed by: Recommending Approval:
information are true and correct on
my Honor:

___________________________ _________________________ __________________________ ______________________________

QCU Scholar Scholar's Welfare Coordinator Scholar's Welfare Coordinator Youth Welfare Program and
Signature over Printed Name Operations
Division Head

Date & Time:_________________ Date & Time:_______________ Date & Time:_______________ Date & Time: __________________

Encoded By: Date & Time Encoded:

THIS FORM IS NOT FOR SALE Page 1 of 1

QCG- YDO- SOI- F06-8-V02
THIS FORM IS NOT FOR SALE Page 2 of 1
QCG- YDO- SOI- F06-8-V02
 QUEZON CITY UNIVERSITY
Campus:
(Formerly Quezon City Polytechnic University)
CERTIFICATE OF REGISTRATION
AY: 2020-2021 SEM: 1st StudNo:
San Bartolome

18-1333
*18-1333*
Course/Year/Section BSIT 3rd Yr - SBIT3I Regular Student Irregular Student Graduating? Yes No

Aliñabon Gabriel Sahagun Date Enrolled: August 23, 2020

(Family Name) (Given Name) (Middle Name) Enlisted by: JERICO V. GALVEZ
Enrolled by: JERICO V. GALVEZ
New Returnee Last Enrollment? ____Semester, School Yr 20___- 20___ Course__________
STUDENT ACCOUNT Amount
Old Transferee Previous University ___________________________________ Course__________
Tuition Fee -21 Units 6,370.14
Code Section-Subject Unit Room Days Time Professor @Php303.34/Unit
AR101 SBIT3I-Architecture and Organization 3 IB102a F 1:00PM-3:00PM Cultural Fee 100.00
AR101 SBIT3I-Architecture and Organization 0 IB208b F 4:00PM-7:00PM Development Fee 400.00
HUM1 SBIT3I-Art Appreciation 3 IC306a M 2:30PM-5:30PM ID Fee 400.00
SOCSCI3 SBIT3I-The Contemporary World 3 IC306a M 6:00PM-9:00PM
Library Fee 100.00

SIA101 SBIT3I-Systems Integration and Architecture 1 Athletics & Sports Dev. 50.00
0 IK303b S 1:00PM-4:00PM
SIA101 SBIT3I-Systems Integration and Architecture 1
Student Welfare 50.00
3 IB101a S 9:00AM-11:00AM
MS101 SBIT3I-Discrete Mathematics
Guidance Fee 100.00
3 IK604 F1 TH 11:00AM-2:00PM
Student Council Fee 40.00
RIZAL SBIT3I-The Life and Works of Rizal 3 IK604 F1 TH 7:00AM-10:00AM
Registration 200.00
IPT102 SBIT3I-Integrative Programming and Technologies 2 3 IB101a W 11:00AM-1:00PM
(Electives) Comp/Major Lab 500.00
IPT102 SBIT3I-Integrative Programming and Technologies 2 0 IK303b W 7:00AM-10:00AM Dental Fee 50.00
(Electives)
Total Units 21 Total 8,360.14
Registration Date: August 23, 2020

ADVISER(Full Signature Over Printed Name) Student's Signature UNIVERSTIY REGISTRAR

Graduation:
Only Students who have completed all requirements for graduation shall be allowed to graduate. These requirements include PE,NSTP and subjects by the University.
Students who complete their course requirements during the summer term or during the first semester shall be included in the next regular graduation rites. Only students who apply for graduation during
the designated application period shall be included in the list of Candidates for Graduation and the yearbook for the academic year.
 Republic of the Philippines
QUEZON CITY
YOUTH DEVELOPMENT OFFICE

PARENTS' UNDERTAKING
(2nd part of QCU Scholars SCHOLARSHIP CONTRACT)

#24D HR Ocampo Pook Amorsolo St.UP Diliman Qc

Gabriel S. Aliñabon
I,______________________________________with residence at _________________________________________and
parent/guardian of ______________________________________________
Francis M. Aliñabon under the Scholarship Program for
Quezon City University Student, after having been informed of the scholarship guidelines and
procedures of the QC Youth Development office, I hereby agree to the following scholarship grants
and terms:

1. That I shall cooperate the City Government in guiding and motivating the aforesaid
student in the pursuit of his/her studies;

2. That I shall encourage him/her to voluntarily participate in all activities initiated by the
office and the City Government to develop values and social consciousness among the
recipient such as:

● Monthly Meetings
● General Assembly
● Community Service
● Youth Week
● Children’s Youth Summit
● Summer Fun Games
● Scholars' Festival
● Team Building Activities
● Other Projects & Activities

3. That he/she must personally transact with the office;

4. That I am aware/ informed that the amount of his/her stipend is not exceeding THREE
THOUSAND PESOS (P 3,000) amount allotted by the City Government to every scholar;

5. That any violation of the existing guidelines of the program and non-participation in the
activities would be a ground for the termination of scholarship grant.

FRANCIS M. ALIÑABON
________________________________________________________ GABRIEL S. ALIÑABON
____________________________________________
Parent/ Guardian’s Signature over Printed Name Scholar’s Signature over Printed Name

Contact No: _______________________________ School: ___________________________

Quezon City University
(of Parent/guardian) (Write in full w/ branch IF APPLICABLE)

TO BE SIGNED BY QCYDO PERSONNEL:

(Scholarship Coordinator) (Division Head)

QCG- YDO- SOI- F02-3-V02

 Republic of the Philippines
QUEZON CITY
YOUTH DEVELOPMENT OFFICE

SCHOLARSHIP CONTRACT
(Quezon City University Scholar)
I,____________________________________________________________,
Gabriel S. Aliñabon batch____
21 scholar with residence at
#24D HR Ocampo Pook Amorsolo St. UP Diliman Qc
___________________________________________________ and studying at
Quezon City University
____________________________________________ after having been informed of the operating guidelines and
procedures of the Quezon City Youth Development Office, hereby agree to the following:

The QUEZON CITY GOVERNMENT (“CITY”) hereby awards to the Grantee that studied at
Quezon City University Scholarship Grant (“Grant”), subject for renewal per semester until he/she
finishes the undergraduate studies at the institution of higher learning in any of the reputable
universities/colleges, subject to the following conditions:

The grantee is entitled to a stipend not exceeding Three Thousand Pesos (P 3,000) per
annum.

OBLIGATIONS

The Grantee:

1. Shall obey the conditions of my scholarship grant and consistently attain the
maintaining grade requirement of the program to pursue my studies;

2. Shall carry the full semester load prescribed by the school for the particular year level /
course;

3. Shall finish the course / degree within five (5) years notwithstanding the rules on
Maximum Residency Requirement;

4. Shall actively participate in community / special projects by the City for the duration of
the scholarship;

5. Must personally transact with the office with regards to my scholarship matters such as
stipend, renewal and activities;

6. Shall render my time, effort and service during summer and semestral breaks in
exchange for the scholarship opportunity given to me by the City government;

7. Shall serve the City, upon its approval, , for _______________ years as equivalent to the
length of time the Grantee spent in completing the course / degree under the Grant;

8. Shall submit to the QC Youth Development Office the following:

a. Authenticated Certificate of Registration upon enrollment;

b. Authenticated Certificate of Grades per semester; and

9. Acknowledges and agrees that the City, at its sole discretion, may furnish the stipend
under the Grant through electronic money issuers.

10. That any violation of the existing guidelines of the program and non-participation in the
activities shall be a ground for the termination of my grant.

QCG- YDO- SOI- F03-5-V01

GROUNDS FOR TERMINATION OF THE GRANT

1. Non-fulfillment of the requirements or conditions of the Grant or this Scholarship

Agreement;

2. Academic deficiencies such as, but not limited to, failed, failing or incomplete marks
in any subject;

3. Forging, falsification and false representation of all documents of scholarship grants

and processes required by the Scholarship Screening Committee or the QC Youth
Development Office;

4. Abandonment and / or non-communication with the QC Youth Development Office

coordinator for one (1) semester despite efforts exerted by the QC Youth
Development Office;

5. Non-participation in the activities in city’s call of participation for scholars;

6. Conviction of a crime involving moral turpitude; and

7. Other analogous circumstances.

The Grantee hereby affirms that he/she has read and understood this Agreement and shall
abide by the terms herein and the Specialized Courses Scholarship Grant.

IN WITNESS WHEREOF; we have hereunto set our hands this ____ May
23 day of _________________ at
Quezon City.

QUEZON CITY GOVERNMENT GRANTEE

By:

________________________________________ GABRIEL S. ALIÑABON

_______________________________________
MA. JOSEFINA G. BELMONTE Signature over Printed Name
City Mayor

Assisted by Parent / Guardian:

FRANCIS M. ALIÑABON
______________________________________
Signature over Printed Name

SIGNED IN THE PRESENCE OF QCYDO PERSONNEL:

Signature over Printed Name Signature over Printed Name

QCG- YDO- SOI- F03-5-V01

 Republic of the Philippines
QUEZON CITY
YOUTH DEVELOPMENT OFFICE

SEMESTRAL MONITORING FORM

NAME: Gabriel S. Aliñabon AGE: 21 SEX: Male BATCH: 29
COMPLETE ADDRESS: ZIP CODE: BARANGAY: DISTRICT:
#24D HR Ocampo Pook Amorsolo St. UP Diliman QC 1101 UP Campus IV
SCHOOL & CAMPUS LOCATION: Quezon City University & San Bartolome YR LEVEL:
3rd
COURSE NAME/PROGRAM: SEMESTER & ACADEMIC YEAR:
Bachelor Of Science in Information Technology
___________ 2nd Sem & 2020 - 2021

Fill up this form comprehensively and with full honesty. You may answer this form in English or Filipino, handwritten or
computerized/encoded.
I. FAMILY BACKGROUND
CATEGORY DATA
State your guardian's name and occupation. Francis M. Aliñabon and Laboratory Technician
Who is the breadwinner of the family? Francis M. Aliñabon
Enumerate the problems/issues that your Financial Problem
family encountered.

How do you or the family members solve the Trying to borrow money to close person
identified problems/issues?

II. ACADEMIC/SCHOLARSHIP
CATEGORY DATA
What is your General Weighted Average? 1.6428
Did you get good grades? What subject/s did Yes i get high grades and i dont have any failed grades entire in college
you failed?
Are you a regular or irregular student? I'm a regular student
What are your academic strengths and My academic strengths is to program, debug, analyzing and my weakness sometimes the
weaknesses? How do you address them? knowledge from my professor didn't share clearly so i get another way to find the resources
how to studying like watching in youtube , search from google because in internet there a lot
of source .

Where does your stipend/allowance usually once bought my allowance i buy proper attire in school like uniforms ,jogging
pants ,black pants sometimes i buy materials for school notebooks, yellow pad etc.
spent/allotted? Enumerate.
What are the school requirements/projects In school requirements proper uniform and in the project sometimes hardware to use in subject
that cost you the most? the cost estimated 2k

III. ECONOMIC/FINANCIAL BACKGROUND

CATEGORY DATA
Who provides financial support on your In my School free tuition fee because I ve passed the exam in this university
schooling? Where did you get the money to that's why continuously studying in QCU. I get money for my parents and the
attend college? allowance from SYDP.

Do you have savings? savings account? How I have savings sometimes but i dont have savings account. I save money for
much do you save? 500 pesos.

Enumerate family problems involving money. If high rate of Electric bill because of consuming the devices will debt to other person to pay
How did you solve your financial problem? electric bill

How much is your tuition fee? How much per My tuition fee 7656.8 and per unit 303.34
unit?
How much are the other school fees like the miscellaneous in my school estimated is 2k - 3k
miscellaneous?

Page 1 of 2
QCG-YDO-SOI-F07-4.V02
How much is your total school expenses per Tuition fee = 7656.8
semester? State all your school expenses Uniform = 1000
and cost. Slocks pants = 1000
PE Uniform = 500
e.g. tuition fee = P 2,500.00 Jogging pants = 500
books = P 1,000.00

IV. COMMUNITY STATUS/ ISSUES

Discuss your inputs about the given questions below.
CATEGORY DATA
In my community i observed stay quiet and right now there
Describe your community. What is the current
lockdown because of some people in my street infected of
situation of your community? covid that's why the barangay community concern lockdown
in my area.

Parking lot because there a my street in 1 person should have

2 or more own car
What are the common issues/problems of the
youth in your community?

In my place barangay give policy 1 side of putting car because

of clearing operation in my community.
What do you think are the possible solutions to
address the identified problems?

Lack of Security
What are the TOP 3 rampant problems in your
community that you think must be urgently Lack of staff
addressed? Slow respondents

As a youth, what can you contribute in We can follow the rules that should everyone safety
addressing the rampant problems in your
community?

Human Development and Poverty Reduction Cluster.

What are the government programs and Pantawid Pamilyang Pilipino Program (CCT)
services you know? K to 12 Basic Education.
Responsible Parenthood.
Sin Taxes.

What are your views and perspectives about

volunteerism? Are you involved in any None
voluntary work in your barangay/ community?
If yes, kindly specify and elaborate.

To be accomplished by QCYDO Personnel

Accomplished by: _________________________________________
GABRIEL S. ALIÑABON
Signature over Printed Name Interviewed by: ____________________________________
Signature over Printed Name / Designation
Date Accomplished: ________________________________________
May 23, 2021 Date : ____________________________________

Page 2 of 2
QCG-YDO-SOI-F07-4.V02
 Page 1 of 1 Quezon City University 7/8/2020 5:37:29 PM

673 Quirino Hi-way, San Bartolome, Novaliches Q.C.

RECORDS MANAGEMENT DIRECTORATE

OFFICE OF THE REGISTRAR

GRADESLIP
S.Y.: 2019-2020 CAMPUS: San Francisco
SEMESTER: 2nd Semester Ref No:
STUD.NO. STUDENT NAME COURSE
18-1333 Aliñabon, Gabriel Sahagun BSIT
SUB CODE DESCRIPTION UNITS GRADE REMARKS PROFESSOR CLASS
IM101 Advanced Database Systems 3 1.5 PASSED GONZAGA, Mikee V. SFIT2C
GEE3 Creativity Practice: Tools, Methods and 3 1.5 PASSED GOMEZ, Maricor R. SFIT2C
Techniques
IPT101 Integrative Programming and Technologies 1 3 2 PASSED TORRES, Paolo I. SFIT2C
HCI101 Introduction to Human Computer Interaction 3 1.75 PASSED ABIERA, Manuel JR. M. SFIT2C
SE101 Software Engineering 3 1.25 PASSED PASCUAL, Zharina SFIT2C
PE4 Team Sports 2 1.5 PASSED MANALANSAN, Rajeevan SFIT2C
SOCSCI1 Understanding the Self 3 1.5 PASSED GALGO, Paul Vincent B. SFIT2C

NOTED BY: EDLYN D. MANICAT

REGISTRAR
NOTE:
NO CHANGES OF GRADES SHALL BE MADE UNLESS APPROVED BY THE COLLEGE DEPARTMENT CHAIR, VPO AND VPAA.
NATIONAL SERVICE TRAINING PROGRAM IS NOT INCLUDED IN THE COMPUTATION OF GWA.