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Sibling Discount Form

This document is a sibling discount application form for Mapúa Institute of Technology. It requests information about the applicant such as name, student number, program of study, and contact details. It also requests information about the applicant's family including names, occupations, incomes of parents and siblings who are currently enrolled at Mapúa. The requirements to qualify for the sibling discount are submitting birth certificates and a completed application form. The terms of the discount program state it applies if an applicant has a sibling enrolled at the same time and is intended as an incentive for families but may be discontinued at any time.

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Patrick James Rosete
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© © All Rights Reserved
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Download as PDF, TXT or read online on Scribd
95 views

Sibling Discount Form

This document is a sibling discount application form for Mapúa Institute of Technology. It requests information about the applicant such as name, student number, program of study, and contact details. It also requests information about the applicant's family including names, occupations, incomes of parents and siblings who are currently enrolled at Mapúa. The requirements to qualify for the sibling discount are submitting birth certificates and a completed application form. The terms of the discount program state it applies if an applicant has a sibling enrolled at the same time and is intended as an incentive for families but may be discontinued at any time.

Uploaded by

Patrick James Rosete
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Sibling Discount Application Form and Waiver, Page 1 of 2 Form # CSFA-005-001

MAPA INSTITUTE OF TECHNOLOGY


Center for Scholarships and Financial Assistance

MAPA SIBLING DISCOUNT APPLICATION FORM and WAIVER

APPLICANTS INFORMATION
Name

Surname First Name Middle Name
Student Number

Program of Study & Year Existing Scholarship/s, if any:
Date of Birth

Age Place of Birth E-mail Address
Address in Metro Manila:

Residing at: [ ] Boarding House [ ] Parents House [ ] With Guardian
Contact Number/s

FAMILY BACKGROUND
Fathers Name

Age
Occupation Annual Income (Gross)

Name of the Company or Business

Contact Number/s
Mothers Maiden Name

Age
Occupation Annual Income (Gross)

Name of the Company or Business

Contact Number/s
Brothers/ Sisters
1) Name

Surname First Name Middle Name
Currently Enrolled?

[ ] YES [ ] NO
Student Number

Program of Study & Year Existing Scholarship/s, if any:
2) Name

Surname First Name Middle Name
Currently Enrolled?

[ ] YES [ ] NO
Student Number

Program of Study & Year Existing Scholarship/s, if any:
3) Name

Surname First Name Middle Name
Currently Enrolled?

[ ] YES [ ] NO
Student Number

Program of Study & Year Existing Scholarship/s, if any:

REQUIREMENTS:
1 Applicant must be an incoming freshman, a transferee, or a second degree student for the 1
st
Quarter of AY
2011-12 or onwards.
2. Applicant must submit original and photocopies of his/her NSO Birth Certificates and those of his/her sibling.
3. For siblings who have only one parent (only the father or the mother) in common, a photocopy of the NSO birth
certificate of the common parent should also be submitted.
4. Applicant must submit accomplished application form/waiver.
Sibling Discount Application Form and Waiver, Page 2 of 2 Form # CSFA-005-001

TERMS AND CONDITIONS:
The Sibling Discount Program is effective beginning the 1
st
Quarter of AY 2011-12.
This discount applies to a student with 1 or more siblings enrolled in Mapa during the quarter when this
Application is filed.
An applicant must be a freshman, a transferee, or a second-degree student during such term or onwards.
In order for a sibling to avail of the discount, his or her sibling/s must have already enrolled for the quarter term
when the Application for discount is made and prior to the submission of the Application Form.
The Sibling Discount Program is an initiative intended to give incentives to families covered by the program. The
program may be discontinued anytime without need of prior notice.
A student availing of the discount must not be under any other scholarship or financial assistance program
sponsored by Mapua Institute of Technology (Academic, DTMS, FAMIT, MITLU, NFMS, YGC PROMO, etc).
Additional tuition fees incurred from tutorial classes are not covered by the discount.
All applications for Sibling Discount shall be submitted to the Center for Scholarships and Financial Assistance
(CSFA) prior to enrolment. NO REFUND shall be given to students who are eligible for the discount but who
failed to apply during this period.

WAIVER

I _________________________ certify to the correctness and accuracy of all information and documents that I
gave in connection with this Application. I understand that, should any of these be later on discovered to be false
or fraudulent, I shall be liable to refund any discount given to me/my child or ward by virtue of this Application,
without prejudice to any administrative sanction/s that Mapa may impose on me and/or my sibling/child or
ward pursuant to the Student Handbook.

I have also read the terms and conditions of the program, and understand that the discount is an incentive given to
families covered by the program and may be discontinued anytime without need of prior notice.


__________________________________________
Signature over Printed Name of Applicant/Date


_____________________________________________
Signature over Printed Name of Parent/Legal Guardian



For CSFA use only

Applicants application and requirements have been verified to comply with the terms and conditions of the
program.


Verified by: Approved by:


____________________________________ _________________________________
CSFA Coordinator CSFA Officer

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