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    Application Form For New

    Uploaded by

    Leoni Franc
    This document is an application form for the Pasig City Scholars program for the 2022-2023 school year. It requests personal information about the applicant such as name, address, contact details, family income, and educational background. If accepted, the applicant and guardian must consent to allow the program office to collect and process their personal data. They also affirm that the information provided is true and agree that any false statements could result in withdrawal of the scholarship. The form includes sections for ratings on financial eligibility, academic performance, an interview, and values education that will be completed by the program office to determine acceptance.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Application Form For New

    Uploaded by

    Leoni Franc
    35 views1 page
    This document is an application form for the Pasig City Scholars program for the 2022-2023 school year. It requests personal information about the applicant such as name, address, contact details, family income, and educational background. If accepted, the applicant and guardian must consent to allow the program office to collect and process their personal data. They also affirm that the information provided is true and agree that any false statements could result in withdrawal of the scholarship. The form includes sections for ratings on financial eligibility, academic performance, an interview, and values education that will be completed by the program office to determine acceptance.

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    Application Form for New

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    This document is an application form for the Pasig City Scholars program for the 2022-2023 school year. It requests personal information about the applicant such as name, address, contact details, family income, and educational background. If accepted, the applicant and guardian must consent to allow the program office to collect and process their personal data. They also affirm that the information provided is true and agree that any false statements could result in withdrawal of the scholarship. The form includes sections for ratings on financial eligibility, academic performance, an interview, and values education that will be completed by the program office to determine acceptance.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    35 views1 page

    Application Form For New

    Uploaded by

    Leoni Franc
    This document is an application form for the Pasig City Scholars program for the 2022-2023 school year. It requests personal information about the applicant such as name, address, contact details, family income, and educational background. If accepted, the applicant and guardian must consent to allow the program office to collect and process their personal data. They also affirm that the information provided is true and agree that any false statements could result in withdrawal of the scholarship. The form includes sections for ratings on financial eligibility, academic performance, an interview, and values education that will be completed by the program office to determine acceptance.

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    © All Rights Reserved
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    Insert

    City Government of Pasig


    Office of the City Mayor 1x1
    Application for Pasig City Scholars Photo
    School Year 2022-2023

    NEW
    Affiliations Type of ID ID Number GWA

    PERSONAL INFORMATION
    Last Name Given Name Middle Name

    Gender Place of Birth Date of Birth Civil Status Religion

    Mobile Number Landline Number Email Address

    HOME ADDRESS
    Unit No. House Number Street Name / Subdivision Barangay

    CURRENT SCHOOL INFORMATION


    Name of School School Location School Type

    Academic Grade / Level Course (for Tertiary only) If Graduating, (Expected Date of Graduation)

    FAMILY INFORMATION
    Name Occupation Monthly Income

    Father ₱

    Mother ₱

    Guardian, as applicable ₱

    Combined Monthly Income ₱

    EDUCATIONAL BACKGROUND
    Name of School Inclusive Years Honors and Awards

    Elementary

    Junior High

    Senior High

    Tertiary

    CONSENT AGREEMENT

    I, _______________________________ a PCS applicant/ acting as legal guardian of ______________________________ who is


    currently applying for admission to Pasig City Scholarship Program, am giving my consent for the PCS Office to collect and process our
    personal data in relation to the purpose of admission as PCS Scholar.

    ACCEPTANCE OF TERMS
    We affirm that the facts herein provided are true and correct as of the date hereof. We hereby authorize the Pasig City Scholars Office and its authorized
    representatives to verify the information submitted. We understand that if awarded the benefits under the PCS, any false statement, omissions, or
    misrepresentation made in this application form may result to the immediate withdrawal of the scholarship grant.

    _______________________________ __________________________________
    Signature of Applicant over Printed Name Signature of Parent/ Guardian over Printed Name
    Date Signed: _____________ Date Signed: _____________

    SUMMARY OF RATINGS
    Financial [ ] Passed [ ] Failed Interview [ ] Passed [ ] Failed

    Academic GWA _____________________ Values Education / (ESP) ___________________

    Interviewed by _____________________ Checked/ Assessed by _______________

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