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Revised OSDS FORM NO. 3 2014version(NOT FOR SALE) Office of the President of the Philippines
Revised OSDS FORM NO. 3
2014version(NOT FOR SALE)
Office of the President of the Philippines
COMMISSION ON HIGHER EDUCATION
REGIONAL OFFICE III
2 X 2
ID PICTURE
CHED STUDENT FINANCIAL ASSISTANCE PROGRAMS (StuFAPs)
APPLICATION FORM
Instructions: Read General and Documentary Requirements. Fill in all the required information. Do not leave an item blank. If item is not applicable, indicate "N/A".
PERSONAL INFORMATION
Name
(Last Name)
(First Name)
(Middle Name)
Permanent Mailing
Date of Birth (mm/dd/yy)
Address
Place of Birth
Sex
 Male
Female
Zip Code
Civil Status
 Single
Widowed
School Name (SHS)
School Address
 Married
Separated
 Annulled
Others
Citizenship
School Type
(
)Public
(
)Private
Mobile Number
Highest Grade/Year
E-mail Address
Type of Disabilty (if applicable):
Tribal Membership (if applicable):
FAMILY BACKGROUND
Father:
(
) Living
(
) Deceased
Mother:
(
) Living
(
) Deceased
Name
Address
Occupation
Educational Attainment
Total Parents Gross Income:
No. of Siblings in the family(Including the applicant):
School currently ENROLLED or intended to enroll:
School Address:
Type of School:
(
) Public
(
) Private
Degree Program:
(
) Priority
(
) Non-Priority
(list at the back)
(Signature over Printed Name of Applicant)
Date Accomplished
DO NOT FILL-OUT THIS PORTION (FOR CHED USE ONLY)
Applicant is Qualified for:
Belongs to: (any of the following groups)
Documents Attached:
Equivalent Points
Scholarship
solo parent and their dependents
Form 138
=
Grants-In-Aid
senior citizens
Latest ITR
P
=
persons with disabilities
Total
=
indigenous and ethnic peoples
Evaluated/Processed by:
CHED StuFAP Coordinator
Documentary requirements:
Documentary requirements:
A. Incoming First Year:
A.
For Applicants with earned units in College:
1. For Senior high school applicants - Grade 11 report card and Grade 12 second semester grades.
1. Certification of grades in all subjects in the last two (2) semesters
for Academic Year 2018-
2019
2. Certificate of good moral character from the last school attended.
2. Certificate of good moral character from the last school attended.
OTHER REQUIREMENTS (FOR PARENTS OR GUARDIAN):
OTHER REQUIREMENTS (FOR PARENTS OR GUARDIAN):
B.
B.
Any of the following: Latest Income Tax Return (ITR) of parents or guardian, Certificate of Tax
Exemption from the Bureau of Internal Revenue (BIR), Certificate of Indigency from the
Barangay, Case Study from DSWD, For children of OFW and Seafarers latest copy of contract
or proof of income or Affidavit of No Income.
Any of the following: Latest Income Tax Return (ITR) of parents or guardian, Certificate of Tax
Exemption from the Bureau of Internal Revenue (BIR), Certificate of Indigency from the
Barangay, Case Study from DSWD, For children of OFW and Seafarers latest copy of contract
or proof of income or Affidavit of No Income.
General Requirements:
A. For other applicants:
1. Must be a Filipino citizen.
1 ALS - Alternative and Equivalency Test Passers Certificate.
2. Must be a senior high school graduate or a candidate for graduation; with earned units in Collage;
passer of ALS/PEPT;
2 PEPT - Certificate of Advancing to the Next Level.
3. Must avail only one CHED scholarship or financial assistance program;
OTHER REQUIREMENTS (FOR PARENTS OR GUARDIAN):
4. Must not be a graduate of any degree program; and must have a combine annual gross income
of parents/guardian not exceed Three hundred thousand pesos (PhP300,000.00).
B.
Any of the following: Latest Income Tax Return (ITR) of parents or guardian, Certificate of Tax
Exemption from the Bureau of Internal Revenue (BIR), Certificate of Indigency from the
Barangay, Case Study from DSWD, For children of OFW and Seafarers latest copy of contract
or proof of income or Affidavit of No Income.
Deadline for filing - April 30 of every year