Office of Admissions

and Scholarships

DOCUMENT CHECKLIST FORM

Name DTS
Last First Middle
College and
ID
Degree
No.
Program
Date/Time
Received by
Submitted

Instruction: Put a check () mark on the applicable documents submitted.

 Student Loan Program (SLP)

 Details Remarks
SLP Application Form
Two (2) original copies of SLP Promissory Note signed by
Parent On-Record (for UG students only)
Letter of reference from an active full-time faculty of DLSU

Updated EAF

Others (specify):

2401 Taft Avenue, 1004 Manila, Philippines I Tel: (632) 523-4230 | Trunk Line: (632) 524-4611 loc. 162

scholarships@dlsu.edu.ph I www.dlsu.edu.ph
 Office of Admissions
and Scholarships

STUDENT LOAN PROGRAM

APPLICATION FORM
Instructions: 1) Print all entries.
2) Attached the following supporting documents:
a. For undergraduate students - Two (2) original copies of SLP Promissory Note signed by Parent On-Record; Print copy of grades from MyLasalle account
b. For graduate students - Two (2) original copies of SLP Promissory Note signed by the student, and Letter of reference from an active full-time faculty of DLSU;
Print copy of grades from MyLasalle account

Application No.
Date of Application AY / Term
(to be accomplished by OAS)
Number of Times You Applied for a Loan (excluding this one)

PERSONAL INFORMATION
Name
(Last, First, Middle)
ID No. Sex Civil Status Citizenship
Academic Level  Undergraduate  Diploma/Certificate  Master’s  Doctoral  Others, specify
College/School Degree Code
Remaining Terms (ex cluding this term) CGPA
Date of Birth Place of Birth
Address Tel. No./Mobile No.
Email address

FAMILY BACKGROUND
Father  Living  Deceased Mother  Living  Deceased
Name
Address

Occupation
Office Address
Tel./Mobile No.
Guardian (if applicable) / or Spouse (if married)
Name Tel./Mobile No.
Address
Occupation Office Address

LOAN AMOUNT (P )
AMOUNT IN WORDS
REASON FOR
LOAN
APPLICATION

Signature over Printed Name Signature over Printed Name

APPLICANT PARENT ON-RECORD

(if applicable)

ALL RIGHTS RESERVED. Parts of this material may be reproduced provided (1) the material is not altered; (2) the use is non-commercial; (3) De La
Salle University is acknowledged as source; and (4) DLSU is notified through academic.services@dlsu.edu.ph.