Revised OSS FORM NO.

1
2012 version

Office of the President of the Philippines

COMMISSION ON HIGHER EDUCATION
REGIONAL OFFICE ____

2X2
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)
Permanent Mailing
Address

Date of Birth (mm/dd/yy)

(Middle Name)

Place of Birth
Sex
Civil Status

Male

Female

Zip Code

Single

Widowed

Married

Separated

School Name
School Address

Annulled

Others

Citizenship

School Type

Mobile Number

Highest Grade/Year

( )Public

E-mail Address

Type of Disabilty (if applicable)

( )Private

FAMILY BACKGROUND
Father:

( ) Living

( ) Deceased

Mother:

( ) Living

( ) Deceased

Name
Address
Occupation
Educational Attainment
Total Parents Gross Income

No. of Siblings in the family

School Intended to enroll in

School Address:
Type of School:

( ) Public

( ) Private

Course:

( ) Priority

(Signature over Printed Name of Applicant)

( ) Non-Priority

Date Accomplished

Note: Fully accomplished form to be submitted to the CHEDRO on or before March 31

DO NOT FILL-OUT THIS PORTION (FOR CHED USE ONLY)
Applicant is Qualified for:

Belongs to: (any of the following groups)

Documents Attached:

Scholarship

solo parent and their dependents

Form 138

Grants-In-Aid

senior citizens

Latest ITR

Student Loan

persons with disabilities

No. of siblings in the family

indigenous and ethnic peoples

Total

Equivalent Points
=
P

=
=

Evaluated/Processed by:

CHED StuFAP Coordinator

General Requirements:
1. Must be a Filipino citizen of good moral character;
2. Must not be more than 30 years of age at the time of application except for senior citizens;
3. Must be a high school graduate or a candidate for graduation;
4. Must have a combined annual gross income of parents/guardian not to exceed Three Hundred
Thousand Pesos (P300,000.00). For those who are exempted from filing income tax, there
should be a certificate of tax exemption from the BIR. For OFW and Seafarers, a latest copy of
contracr or prrof of income;
5. Must not be a recipient of any government scholarship and financial assistance.

Documentary requirements:
1. Accomplished CHED StuFAPs Application (OSS Form 01);
2. Duly certified High School Report Card for third year and grades for the first three grading
periods for fourth year:
3. Latest Income Tax Return (ITR), Certificate of Tax Exemption or Copy of Contract or proof of
income of parents/guardian from Bureau of Internal Revenue;
4. Certificate of good moral character from the high school principal/guidance counselor;