Certificate of Unemployment
Certificate of Unemployment
CERTIFICATE OF UNEMPLOYMENT
Philippines.
_____________________________________________
(Signature over printed name of the issuing authority)
(Position/Designation of issuing authority)
Annex 1 Privacy Notice and Parent Consent Form
This is a REQUIRED document for applicants who are below 18 years old at the
time of the submission of the application.
_____________________________________
(Signature over printed name of the parent/guardian )
Additional information:
3. Address: ____________________________________
Republic Act. No. 10533 (RA 10533), otherwise known as the Enhanced Basic Education Act of 2013, explicitly
expands Government Assistance to Students and Teachers in private Education (GASTPE or Republic Act 8545)
to include Grades 11 and 12. In this regard, DepEd Order No. 11 series of 2015 (DO 11 s.2015) introduced the
Senior High School Voucher Program (SHS VP) as a mechanism to provide financial support to qualified
students in SHS.
The Private Education Assistance Committee (PEAC) has been contracted by DepEd to administer the SHS
Voucher Program (SHS VP) Applications. PEAC is the trustee of the Fund for Assistance to Private Education, a
perpetual trust fund created to provide assistance to private education in the country. PEAC is represented
nationally by its National Secretariat (PEAC NS) and in each region by its Regional Secretariats (PEAC RS).
PEAC provides the infrastructure, systems, coordination and controls required for the smooth implementation of
the SHS VP.
Under Sec.3(i) of the DPA, Personal Information Processor (PIP) refers to any natural or juridical person
qualified to act as such under this Act to whom a personal information controller may outsource the processing of
personal data pertaining to a data subject.
Student Applicant
1. Learner Reference Number
2. Full Name
3. Date of Birth
4. Gender
5. City/Municipality and Province of Birth
6. Citizenship/Nationality
7. Contact Information (mobile, landline, email address
8. Home Address
9. Desired Track in Senior High School
10. Junior High School enrolled in, including address and school fees
11. If applicable, financial assistance received from the school
Applicant’s Family
1. Sibling/s name and age
2. Properties owned (vehicle, real state, house)
3. Father/Mother/Guardian’s name source of income, gross monthly income, proof of financial
capacity
4. If applicable, name, source/s of income, gross monthly income of the person helping send the
child to school, proof of financial capacity