SCHOLARSHIPS FOR SY 2018-2019 (SENIOR HIGH SCHOOL)

 Modalities
- Full scholarship grant (full fees coverage and allowances (book, uniform, living)
- Partial scholarship grant (full tuition fee coverage)

Tytana reserves the right to assign the applicant to the different scholarship grants by
Tytana and its scholarship benefactors based on the qualifications and the need of the
applicant.

 Qualifications
- Must be a Filipino citizen
- Must pass the Manila Tytana Colleges Admission Test
- Must have a general weighted average of at least 87%, or its equivalent
- Must have a combined gross family income of not more than P400,000 for a family of
four; or P100,000/capita if more than four in the family. This MAY be waived if the
applicant is an honor student.
- Must have substantial extra-curricular and leadership involvements
- Must be of good moral character
- Must not enjoy other scholarship grants or financial assistances

 Documentary requirements

Submit the following documents together with the duly accomplished Scholarship
Application Form. The applicant must be the one to accomplish the form and affix his/her
signature with one of his/her parents or legal guardian. Write clearly on the form using
black ink only. Avoid erasures. Make sure to answer ALL ITEMS.

Only complete documents will be processed. Application will be processed on a first-come,

first-served basis. The applicant must PERSONALLY submit the documents. Initial interview
will be conducted during submission of application.

The scholarship benefactors might request for additional documents other than those
enumerated below.

Deadline of submission of application form and ALL documentary requirements is

on March 23, 2018 (Friday).

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Checklist of documentary requirements:

o Application Form

o Parents’/Guardian’s detailed personal letter about the family’s financial situation justifying the need
for financial assistance.

o Two (2) pcs. of 2x2 (on white background) most recent photograph of applicant. Attach one photo
in the application form.

o Photograph of applicant with family/guardian. Print name at the back of the picture.

o Proof of household income:

For employed parents: Most recent copy of Income Tax Return (ITR) or Certificate of Compensation
Payment/Tax; Certificate of Employment and Compensation (including bonuses, allowances and
commissions). Overseas Filipino Workers must submit copy of employment contract.

For self-employed parents: Submit business permit, detailed description of business and latest
income and expenses financial statement.

For parents not filling an ITR: Please indicate in the letter the reason for non-filing. Provide certified
true copy of Certificate of Non-Filing from Bureau of Internal Revenue (BIR).

For retired parents/guardian: Submit retirement and/or pension voucher.

Siblings and other relatives currently helping out with the expenses of the family including
educational expenses may be required to submit the above-mentioned documents.

o Proof of latest electricity and water billing statements. If statement is registered under a different
name other than the applicant’s parent/guardian, include a certification letter from property owner.

o Copies of certificates and/or Certification of Leadership, Extra/Co-curricular involvement of the

applicant

o Two (2) letters of recommendation from teacher

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FOR TYTANA’S USE ONLY:

Course/Track/Strand applied for : ________________________________________

Result of MTCAT : CFIT ___ Total ___

E ___ M ___ S ___ GI ___

Initial Interview
a. High school grade : Grade 9 _____ Grade 10 _____
b. 2016/7 Total Annual Family Gross Income : ________________________________________
c. Water and electricity bill : __________ __________
Assessed by : ________________________________________

Pending Documents : ________________________________________

Schedule of FI : ____________________
Result of FI : ____________________
Final Result : ____________________ Grant ____________________

Instruction: The applicant must be the one to accomplish the form and affix his/her signature with
one of his/her parents or legal guardian. Write clearly on the form using black ink only. Avoid
erasures. Make sure to answer ALL ITEMS. Answer this questionnaire carefully, completely and
honestly. Parents may be called for interview for clarification of the information given.

APPLICATIONS WITH INCOMPLETE INFROMATION AND WITHOUT THE REQUIRED DOCUMENTS WILL
NOT BE PROCESSED.

Name

Last Given Middle

Landline
Paste 2x2” photo on white
Mobile background here.
Number
Email Address

Name of
High School
Address of
High School
Type of School ___ Public General
___ Public Special (science, arts)
___ Laboratory of SUC
___ Private Sectarian
___ Private Non-Sectarian

LETTER OF UNDERTAKING

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Date: ____________________

MANILA TYTANA COLLEGES

Directorate for Student Affairs
Student Welfare and Development Department

This is to formally signify my intention to apply for a scholarship grant in Manila Tytana Colleges. I
understand that I have to undergo the complete process including the submission of all
documentary requirements for my application to be considered.

I agree to submit myself to the criteria established by the Tytana Student Welfare and Development
Department or its partner grantors in the selection of qualified and deserving candidates and its
procedures in the processing of my application. I understand that the decision of the Selection
Committee is final and unappealable.

Respectfully yours,

__________________________________
Signature over Printed Name of Applicant

__________________________________
Signature over Printed Name of Parent/Guardian

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 DATA PRIVACY CONSENT FORM

Dear Applicant:

Personal Data Protection Statement for Applicants

In the course of your application process with the Manila Tytana Colleges and its scholarship
partners (together, “Tytana”) for the SY 2018-2019 Tytana Scholarship Program, Tytana has
collected or obtained, and will obtain or collect from time to time, personal data from you or in
relation to you (“Personal Data”). Please note that your Personal Data has been or will be collected,
processed, used and stored for purposes directly or indirectly relevant to your application for
scholarship. Your Personal Data may also be used for Tytana’s administration and management of
applicants and for compliance with applicable laws and regulations.

By signing and returning this Consent Form to Tytana, you confirm that you consent to the
collection, use, recording, storing, organizing, consolidation, updating, disclosure, transfer, sharing
and/or general processing of your Personal Data by Tytana as stated above and you undertake in
turn to help Tytana to observe the requirements of the Data Privacy Act of the Philippines (Republic
Act No. 10173), its implementing rules and regulations and other relevant issuances of the National
Privacy Commission. The permission you are granting to Tytana shall be effective immediately and
shall continue for a period of one (1) year from the date of this consent form or until graduation
from Tytana for those who will be approved in the program (the “Permission Period), unless you
inform us in writing of your decision to revoke your permission prior to the end of the Permission
Period, in which case, Tytana shall immediately cease from collecting, using, recording, storing,
organizing, consolidation, updating, disclosure, transfer, sharing and/or general processing of your
Personal Data.

Should you have questions regarding the privacy policy you may contact our Data Privacy Officer at
(02) 859-0834 or email at [email protected].

Student Welfare and Development Department

Directorate for Student Affairs
Consent:

I hereby consent to the collection, use, recording, storing, organizing, consolidation, updating,
disclosure, transfer, sharing and/or general processing of my Personal Data by Tytana in accordance
with the terms of this Personal Data Protection Statement for Applicants.

Applicant’s Signature over Printed Name

Date:

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I. PERSONAL DETAILS

Date of Birth: ____________________ Place of Birth: ____________________

Civil Status: ____________________ Religion: ____________________

Current Address: ( ) Own home ( ) Dormitory/Boarding House ( ) Living with relatives

( ) Others: ____________________

Write complete address including house number, street, barangay, municipality/city, province, and
zip code.

_____________________________________________________________________________________

Cost of two-way transport (cheapest rate): PhP_______________________

Means of transport (bus, plane, boat, etc.): __________________________

If the applicant is renting:

Monthly rent: PhP_______________
Monthly lodging: PhP_______________
Who shoulders the expenses: __________________

Cost of two-way transport (cheapest rate): PhP_______________________

Means of transport (bus, plane, boat, etc.): __________________________

Permanent Address (if different from current address):

Write complete address including house number, street, barangay, municipality/city, province, and
zip code.

_____________________________________________________________________________________

Cost of one-way transport (cheapest rate): PhP_______________________

Means of transport (bus, plane, boat, etc.): __________________________
How many times does the applicant go home to specified permanent address? _________________

Is the residence owned by the parents of the applicant? ( ) Yes ( ) No

If not owned by parents, by whom? _______________________

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II. EDUCATIONAL ATTAINMENT

Name of Primary School : ____________________________________________________

Address of Primary School : ____________________________________________________
Year Graduated : _____ General Average: _____

Honors and Awards Received : ____________________________________________________

(use additional sheet if ____________________________________________________
necessary) ____________________________________________________

Name of Junior High School : ____________________________________________________

Address of Junior High School : ____________________________________________________

Honors and Awards Received : ____________________________________________________

(use additional sheet if ____________________________________________________
necessary) ____________________________________________________
____________________________________________________
____________________________________________________

-------------------------------------------------------------------------------------------------------------------------------
Amount of fees paid in senior year: PhP_______________
Did the applicant enjoy any form of scholarship or financial aid in secondary school? This includes
the ESC program of the government. ( ) Yes ( ) No

If yes, specify grant: ____________________ Total amount of grant: PhP_______________

Who finances the applicant’s schooling? (check all applicable)

( ) Parents ( ) Sibling ( ) Self ( ) Others: ____________________
Estimated amount of financial support? PhP _______

Is the applicant a working student? ( ) Yes, full time ( ) Yes, part time ( ) No

Name of Company/Employer: ____________________________________________________

Address: ____________________________________________________
Monthly income: PhP _______________

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II-A. Academic Performance

This portion should be accomplished by the adviser and guidance counselor, and certified by the
principal.

Name of school : ____________________________________________________

Class size of graduating class : __________________________
General average of applicant in Grade 9 : __________________________

Grade 10:
Subject Quarter 1 Quarter 2

Remarks on grading scale:

_____________________________________________________________________________________
_____________________________________________________________________________________

Signature over printed name of teacher/adviser

II-B. Character

This is to certify that the applicant has consistently maintained good moral character, there having
no disciplinary action taken against him/her as of the date of application.

Signature over printed name of guidance counselor

Attested by Principal (signature over printed name):

III. FAMILY BACKGROUND

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Status of Relationship of Parents: ( ) Living together ( ) Separated ( ) Single
( ) Father deceased ( ) Mother deceased
( ) Others, __________________________________________

Father Mother Guardian

(if not living
with parents)
Full Name
Birth Date
Current Address

Permanent Address
(if different from
current address)
Contact Number
Highest Educational
Attainment
School

Living Abroad?
Yes or No

Employer

Address

Position

Previous Year’s
Gross Income

Nature of work
Number of years in
business
Previous Year’s
Gross Income

Last company joined

When
Reason for being
unemployed

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If the applicant is not living with parents

What is the relationship to guardian? ____________________

Does the guardian contribute to the family expenses? ( ) Yes ( ) No

How much is the monthly contribution? PhP_________________

Siblings

Total Number of Siblings: _____

Number of Working Sibling/s: _____ Number of Studying Sibling/s: _____

Use additional sheet if necessary.

Sibling 1 Sibling 2 Sibling 3
Name
Year of Birth
Civil Status
If with children,
indicate how many
Permanent Home
Address
Currently living with
family? (Yes/No)
If No, indicate if he/she is
living abroad or not
Contact Number
Highest Educational
Attainment
School
Received Scholarship?
(Yes/No)
School fees per year
(if student)
Occupation or
Year/Grade Level
Employer
Business Tel. No.
Average Monthly Income

Does any of the applicant’s siblings contribute to the family’s expenses? ( ) Yes ( ) No
Who contributes? ______________________________________
If yes, is the contribution regular? ( ) Yes ( ) No
What is the frequency of the contribution? ( ) Once a month ( ) Twice a month ( ) Others: ________
How much is the average contribution? PhP_______________
Relatives

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Does the applicant have any relatives (whether in the Philippines or abroad) who contribute to the
family’s expenses? ( ) Yes ( ) No

If yes, how much is the average monthly contribution? PhP_______________

If assistance is not in cash, what kind of help do they give? __________________

Household companions

Does the applicant have any house companions other than parents and siblings? ( ) Yes ( ) No

Use additional sheet if necessary.

Companion 1 Companion 2 Companion 3
Name
Relationship to Student
Age
Civil Status
Mobile Number
Occupation/ Year or
Level (if student)
Employer/ School
Business Address
Average Monthly
Income
Sharing with house
expenses? Yes/No

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IV. HOUSEHOLD ECONOMIC BACKGROUND

FAMILY INCOME (Annual Gross)

Combined Annual Pay (father, mother) PhP
Combined Annual Pay (brother, sister – if living under
same house)
Income from Business
Income from Land Rentals
Income from Res/Bldg Rentals/Lease
Retirement Benefits/Pension
Commissions
Financial Support from Relatives
Bank Deposits
Others (Specify)

Total Annual Income PhP

FAMILY EXPENSES (Monthly)

House Rental PhP
Food and Grocery
Loan /Amortization (specify)
Transportation/Gasoline
Education Plan Premiums
Insurance Policy Premiums
SSS/GSIS/PAG-IBIG Loans
School/Office Uniform/Clothing
School Allowance
Utilities (Electricity, Water, Cable, Phone, Internet)
Medicines
Recreation
Others (specify)
Total PhP
Sub-total x 12 months PhP

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FAMILY EXPENSES (Annual)
School Tuition and Fees PhP
Withholding Tax
SSS/GSIS/PAG-IBIG Contribution
Insurance, Plans (per Year)
Others (specify)

Sub-total PhP
Total Annual Expenses (Monthly + Annual) PhP

If annual expenses is higher than annual income, please explain how you cover for the deficit.

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

What are the sources of income of the household? Please check all applicable items.
( ) Salaries or wages ( ) Commissions ( ) Remittances from abroad
( ) Practice of profession ( ) Business ( ) Real estate rentals
( ) Retirement pension ( ) Others: __________________________________

Does any member of the family household have credit cards? ( ) Yes ( ) No

References (Immediate and extended family are not allowed to be used as reference. Preferred
persons are high school teacher, guidance counselor/principal, or family friend.

Name Relation to Company Contact Number

Applicant
1.

2.

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V. VICINITY MAP

Draw a map that shows how to get from your residence to Tytana. State landmarks and names of
major streets and use an “X” to indicate your house in the map.

DECLARATION OF ACCURATENESS AND COMPLETENESS OF INFORMATION

We hereby certify that all the information and documents submitted are accurate and complete.
We understand that any misinformation and/or withholding of information will automatically
disqualify the undersigned applicant from receiving any financial assistance, or subsidy, and may
serve as a basis for the cancellation of the scholarship grant that may be awarded by the College.
Furthermore, if such misinformation and/ or withholding of information on our part is
discovered after the Tytana Scholarship Grant has been awarded, it is to our knowledge
that we will be required to reimburse full amount received thru the scholarship grant
without prejudice to the filing of charges against us.

____________________________________ _________________________________
Signature over Printed Name of Applicant Signature over Printed Name of Parent

Date Date

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VII. RECOMMENDATION FORM

Instructions to the applicant: Please fill out the entries on the upper half of the form. The
applicant must submit two (2) recommendations from any one of the following
(preferably the one who knows you best) – (a) HS teacher/adviser, (b) HS guidance
counselor, (c) HS principal.

Please PRINT all entries.

To be filled out by the applicant

NAME OF APPLICANT _________________________________________________________________

Last Given Middle

Applying for (course) _________________________________________________________________

To be filled out by the HS teacher/adviser, HS guidance counselor, or HS principal

The student whose name appears above is applying for Scholarship at Manila Tytana Colleges. To
help the College evaluate the qualifications of the applicant, kindly answer the items below as
sincerely as possible.

Is the applicant a recipient of financial assistance/scholarship in SHS? ___ Yes ___ No

Do you have enough information about the applicant’s family to say that they will not be able to
send him/her to Tytana without scholarship? ___ Yes ___ No

Will the applicant’s family be able to send him/her to Tytana even without scholarship? ___ Yes
___ No

Please use the portion below in case you have any comments about the applicant’s qualifications
for financial assistance or academic ability.

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Name (please print) _________________________________________________________________

Position _________________________________________________________________

Signature ______________________________ Date __________________________

Please return this appraisal to the applicant in a sealed envelope with your signature across the seal.

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