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    Scholarship Form

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    normansabdao1106

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    Scholarship Form

    Uploaded by

    normansabdao1106
    3 views1 page

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    3 views1 page

    Scholarship Form

    Uploaded by

    normansabdao1106

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    © All Rights Reserved
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    of 1

    OFFICE OF THE STUDENT AFFAIRS AND

    SERVICES OFFICE
    Brgy. Binongtoan Alangalang, Leyte
    Telephone: 525-0344 local 1098
    Email: alangalang@vsu.edu.ph
    Website: www.vsu.edu.ph

    SCHOLARSHIP/GRANT APPLICATION FORM


    1st Semester/2nd Semester/ Summer, SY: 2021-2022

    Instructions:
    1. Print all entries
    2. Place an X in the appropriate blank provided

    SCHOLARSHIP/GRANT APPLIED FOR:


    _____ HONORIFIC ______ UNIVERSITY _____ ACADEMIC A
    _____ ENTRANCE FULL/PARTIAL ______ COLLEGE _____Others (Pls. specify)________________

    PERSONAL INFORMATION
    Name:
    (Last) (First) (Middle Name)
    Date of Birth :________________ Sex________ Civil Status:_______________ No. of siblings/children if married:__________
    Home/Provincial Address Congressional District:
    Campus/Baybay Address:__________________________ Contact No. Email address__________________
    Course & Year ______________________ Major: ____________ No. of Semesters enrolled in VSU:______________________
    For New Students:
    Name of Previous School
    School Address:_________________________ Date of HS Graduation:_____________ Honors Received
    For Transferees: No. of Semester(s) enrolled in Previous School: ___________ No. of units credited (if any)________________

    FAMILY BACKGROUND

    Father: [ ] Living [ ] Deceased Mother [ ] Living [ ] Deceased


    Name:
    Address:
    Occupation:
    Contact Number:_______________________________________ ___________________________________________________________
    Gross Family Income:_________________________ No. of household members:____________________

    I declare that the above information provided herein are true and correct.

    _____________________________________________
    Printed Name & Signature of Applicant

    SUPPORTING DOCUMENTS:
    [ ] Certified Photocopy of HS Card/Copy of grades [ ] Certification of Honors Received
    [ ] Certified photocopy of Cert. of Registration [ ] Others

    ACTION TAKEN: [ ] Recommend Approval [ ] With-held


    REMARKS:

    NAIDE P. LANTAJO
    Head, Student Affairs Services Office

    Vision: A globally competitive university for science, technology, and environmental Page 1 of 1
    conservation. FM-VSU-03
    Mission: Development of a highly competitive human resource, cutting-edge scientific v2 05-04-2020
    knowledge and innovative technologies for sustainable communities and environment. No.

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