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Annex 1 TDP FORM Updated

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Rodriguez Vea Janelle DC.
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135 views1 page

Annex 1 TDP FORM Updated

Uploaded by

Rodriguez Vea Janelle DC.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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UniFAST TDP Form Annex 1

2022 version
(NOT FOR SALE)

2x2
ID PICTURE
CHED Regional Office ___
UniFAST TULONG DUNONG PROGRAM (UniFAST-TDP)
APPLICATION FORM
Instructions. Read General and Documentary Requirements. Fill in all the required information. Do not leave an item blank Item is not applicable, indicate "NA".

PERSONAL INFORMATION

Name (Last Name) (First Name) (Middle Name) Maiden Name


(for Married Women)
Date of Birth Permanent Address Zip Code
(mm/dd/yyyy)

Place of Birth Street & Barangay Town/City/ Province


Municipality
Name of School Attended

___ Male School ID Number


Sex
___ Female School Address
Citizenship School Sector ( ) Public ( ) Private

Mobile Number Year Level Tribal Membership


(if applicable)
E-mail Address Type of Disability
(if applicable)
FAMILY BACKGROUND
Father: () Living () Deceased Mother: ( ) Living ( ) Deceased
Name
Address
Occupation
Total Parents Gross income No. of Siblings in the family
Are you enjoying other educational financial assistance? __Yes or ___No
If yes, please specify 1. _____________________________
2. _____________________________
I hereby certify that foregoing statements are true and correct.
___________________________________ ______________________________
Signature over Printed Name of Applicant Date Accomplished
Note: Fully accomplished form to be submitted to the CHEDRO
DO NOT FILL-OUT THIS PORTION FOR CHEDRO USE ONLY)
Documents Attached
Certificate of Registration/Enrolment (CORs/COEs) _________
Certificate of Indigency _____
____ _________
Evaluated Processed by:
______________________________
UniFAST Regional Coordinator
QUALIFICATION REQUIREMENTS DOCUMENTARY REQUIREMENTS per Section 3 of the Memorandum Circular No. __ s. 2022.
per Section 1 of the Memorandum Circular No. 6.2.1 a. For new applicants:
__ s. 2022. Participating higher education institutions (HEIs) must submit, to the respective
CHED Regional Offices, a certified true copy or electronically-generated copy of the list of enrolled
An applicant for this grant must be a Filipino student- applicants with total number of units enrolled (Annex 5), with the attached certified
citizen with a combined household electronically generated Certificate of Registration/Enrolment (CORs/COEs) as proof of enrollment.
(parents/guardian) gross income which shall not
exceed Four Hundred Thousand Pesos 6.2.2 (Income Requirement) New applicants and continuing grantees shall submit a Certificate of
(PhP400,000.00) and maybe classified as one of Indigency as proof of income, duly issued by the Punong Barangay where the applicant resides.
the following:

5.1 New TDP-TES Grantee must be


enrolled in any first undergraduate degree in
SUCs, CHED-Recognized LUCs and Private HEIs
that are in the CHED Registry of Programs and
Institutions.

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