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Application Form (Cong. Atong Asilo)

This document is an application form for Congressman Benjamin D. Asilo's "Tulong ni Atong sa mga Mag-aaral ng Tundo" Quality Education for All Program. It requests basic personal information from applicants such as name, age, address, school details, family information, and previous experience as a scholar if applicable. Applicants and their parents or guardians must agree to the program's terms, which include being a resident of Tondo 1, being familiar with computers and Facebook, volunteering in their community, not having received aid from other organizations, and only one sibling per family can apply.

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283 views

Application Form (Cong. Atong Asilo)

This document is an application form for Congressman Benjamin D. Asilo's "Tulong ni Atong sa mga Mag-aaral ng Tundo" Quality Education for All Program. It requests basic personal information from applicants such as name, age, address, school details, family information, and previous experience as a scholar if applicable. Applicants and their parents or guardians must agree to the program's terms, which include being a resident of Tondo 1, being familiar with computers and Facebook, volunteering in their community, not having received aid from other organizations, and only one sibling per family can apply.

Uploaded by

julie_emman01
Copyright
© Attribution Non-Commercial (BY-NC)
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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APPLICATION FORM

OFFICE OF CONGRESSMAN BENJAMIN D. ASILO


"TULONG NI ATONG SA MGA MAG-AARAL NG TUNDO" QUALITY EDUCATION FOR ALL PROGRAM
Fill up this form (IN PRINT) and submit to the Office of Congressman together with other required documents
NAME: ____________________________________
(SURNAME)
(NICKNAME)
SEX: ______

_______ _________________________
(FIRST NAME)

____________________________________
(MIDDLE NAME)

AGE: _______ BIRTHDAY: ______________________ BIRTHPLACE:___________________________________________________________________

ADDRESS: _______________________________________________________________________BRGY: ___________________ TEL/CEL No: ____________________

FACEBOOK ACCOUNT: _________________________________OTHER USER NAME: _____________________________


(Note: Confidentiality in using other user name will strictly be observed by this office)

PRESENTLY LIVING WITH (check one)

Relationship (if guardian/others) ____________________________


( ) Parents ( ) Guardian ( ) Others

SCHOOL: ___________________________________________________ YEAR LEVEL: ________________


COURSE: ___________________________ (check one)
( ) 5 year course ( ) 4 yr course ( ) 3 yr course ( ) 2 yr course
FATHERS NAME: ______________________________________ _________________________________
(SURNAME)
(FIRST NAME)

___________________________
(MIDDLE NAME)

OCCUPATION: ____________________________________ PLACE OF WORK: _______________________ AGE: _____ BDAY: _____________


MOTHERS NAME: ______________________________________ _________________________________
(SURNAME)
(FIRST NAME)

___________________________
(MIDDLE NAME)

OCCUPATION: ____________________________________ PLACE OF WORK: _______________________ AGE: _____ BDAY: _____________

NAME OF BROTHER/s /SISTER/s


1.
2.
3.
4.
5.

AGE

BIRTHDAY

SCHOOL/WORK

New Applicant _________


Old Apllicant: __________
(pls. indicate kung anong year kayo nagstart as scholar and kindly check kung anong semester)
1ST Year
School Year _________
1ST SEM _____
2ND SEM _____
2ND Year School Year _________
1ST SEM _____
2ND SEM _____
3RD Year School Year __________
1ST SEM _____
2ND SEM _____
4TH Year School Year __________
1ST SEM _____
2ND SEM _____
OTHERS: ____________________

AGREEMENT UNDER THE PROGRAM, "TULONG NI ATONG SA MGA MAG-AARAL NG TUNDO"


1. APPLICANT AND HIS / HER PARENT / GUARDIAN MUST BE RESIDENTS OF TONDO 1
2. KNOWS HOW TO OPEN, OPERATE AND USE THE COMPUTER.
3. MUST BE FAMILIAR IN USING FACEBOOK
4. MUST VISIT OR LOG ON TO FACEBOOK ([email protected] ,/, [email protected]) ONCE A WEEK.
5. WILLING TO RENDER COMMUNITY SERVICE IN THEIR OWN BARANGAY,
6.. WILLING TO RENDER SERVICES OUTSIDE THEIR BARANGGAY (TONDO/MANILA).
7. MUST POSSESS THE CHARACTER OF A GOOD STUDENT AND HAVE DESIRE TO FINISH STUDIES.
8. KINDHEARTED AND CARING TO PARENTS
9. HINDI PA GRANTEE O NAG-APPLY SA ANUMANG INSTITUSYON, SIMBAHAN, PAARALAN O IBA PA.,
10. IF POSSIBLE, NO BODY MARKINGS (TATTOO BOTH BOYS AND GIRLS AND NO EARINGS (BOYS)
11. Isa lang sa magkapatid ang pwedeng mag-aaply sa ating programa.

_________________________________________________
PARENT / GUARDIAN SIGNATURE

_____________________________________
SIGNATURE OF APPLICANT

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