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SGS-L Special Request Forms - Request For Extension

This document is a request for extension of a graduate study plan. It details that the scholar, [name redacted], is requesting an extension of their study plan at [DHEI redacted] under the CHED K-12 Scholarships for Graduate Studies Local program. The extension would be from AY [year redacted] to AY [year redacted] covering [number of] terms equivalent to [number of] months. This is due to reasons provided in an attached justification. It notes the scholar is expected to finish the program by [month and year redacted]. Signatures of relevant university officials and coordinators are required to note the extension.

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LevirolfDeJesus
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108 views

SGS-L Special Request Forms - Request For Extension

This document is a request for extension of a graduate study plan. It details that the scholar, [name redacted], is requesting an extension of their study plan at [DHEI redacted] under the CHED K-12 Scholarships for Graduate Studies Local program. The extension would be from AY [year redacted] to AY [year redacted] covering [number of] terms equivalent to [number of] months. This is due to reasons provided in an attached justification. It notes the scholar is expected to finish the program by [month and year redacted]. Signatures of relevant university officials and coordinators are required to note the extension.

Uploaded by

LevirolfDeJesus
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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SCHOLARSHIPS FOR GRADUATE STUDIES - LOCAL 
REQUEST FOR EXTENSION 
 
SCHOLAR NAME: _______________________________ UNID:  ___________________________ 
SHEI NAME:  _______________________________________________________________________ 
DHEI NAME:  _______________________________________________________________________ 
PROGRAM: _______________________________________________________________________ 
 
Per,  Article  VI  (5)  of  CHED  Memorandum Order (CMO) No. 3 s. 2016, as amended by CMO 36 s. 2016, CMO 4 s. 
2017, and CMO 2, s. 2018:  
 
“Scholars  are  required  to  finish  the  degree  within  two  (2)  years  of  master’s  and 
three  (3)  years  for  doctoral  degree,  with  a  maximum  of  four  (4)  years  allowed  for 
the  latter  for  the  purpose  of  further  dissertation  research.  Meanwhile,  scholars 
awarded  with  Thesis/Dissertation  grant  are  required  to  finish  one  (1)  year. 
However,  exceptions  may  be  allowed  by  the  Commission  based on the approved 
plan  of  study  of  the  scholar.  The  time  limit  shall  be  adjusted  accordingly  for 
scholars  who  avail  of  the  grant  for  ongoing  master’s  or  doctoral  degrees 
according  to  the  units  of  coursework  and/or  amount  of  research  still  to  be 
undertaken.” 
 
Consistent  with  the  policies  of my scholarship, I am requesting for an extension of my study plan, starting  AY 
__________,  Term  ___________  to  AY  __________,  Term  ___________.  This  covers  _____  regular 
academic terms, and _____ special or non-regular terms, and is equivalent to _____ months.  
 
 
This is due to: 
_____________________________________________________________________________________ 
______________________________________________________________________________________
____________________________________________________________________________________ 
 
Justification: Attach separate sheet if necessary. 
 
 
 
 
 
________________________________________ 
Name and Signature of the Scholar and Date Signed 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
J. PROSPERO E. DE VERA III, DPA 
Chairman 
Commission on Higher Education 
4/F, HEDC Building, C.P. Garcia Avenue 
Diliman, Quezon City, 1101 
 
Thru : NELSON G. CAINGHOG 
Director-in-Charge 
Scholarships for Graduate Studies - Local 
 
This  is  to  inform  you  office  that  ____________________________,  a  student  of  (Degree  Program) 
____________________________  in  (DHEI) ____________________________ under the CHED K 
to  12  Scholarships  for  Graduate  Studies  Local  has  been  recommended  to  extend  the  study  plan 
starting  AY  __________,  Term  ___________  to  AY  __________,  Term  ___________.  This  covers 
_____  regular  academic  terms,  and  _____  special  or  non-regular  terms,  and  is  equivalent  to  _____ 
months. The extension is due to: ____________________________________________________ 
______________________________________________________________________________
______________________________________________________________________________. 
 
Furthermore, he/she is expected to finish the program on (Month) ___________ (Year) ___________.  
 
 
For your consideration. 
 
Noted by:  
 
Name of Grants Management Officer:  ______________________________________ 

Signature:   ______________________________________ 

Date:   ______________________________________ 
 
 
Name of Dean of College:  ______________________________________ 

Signature:   ______________________________________ 

Date:   ______________________________________ 
 
 
 
 
 
 
 
 
 
 
 
J. PROSPERO E. DE VERA III, DPA 
Chairman 
Commission on Higher Education 
4/F, HEDC Building, C.P. Garcia Avenue 
Diliman, Quezon City, 1101 
 
Thru : NELSON G. CAINGHOG 
Director-in-Charge 
Scholarships for Graduate Studies - Local 
 
This  is  to  inform  you  office  that  ____________________________,  a  student  of  (Degree  Program) 
____________________________  in  (DHEI) ____________________________ under the CHED K 
to  12  Scholarships  for  Graduate  Studies  Local  has  been  recommended  to  extend  the  study  plan 
starting  AY  __________,  Term  ___________  to  AY  __________,  Term  ___________.  This  covers 
_____  regular  academic  terms,  and  _____  special  or  non-regular  terms,  and  is  equivalent  to  _____ 
months. This is due to: ____________________________________________________________ 
______________________________________________________________________________
______________________________________________________________________________. 
 
This  is  to  further  certify  that  the  service  obligation  of  the  scholar  shall  likewise  be  adjusted  in 
proportion  to  the  extended  period  as  stated  above  and  in  accordance  with  the  scholar’s  agreement 
with (SHEI) _________________________________. 
 
For your consideration. 
 
 
Noted by:  
 
Name of SHEI Coordinator:  ______________________________________ 

Signature:   ______________________________________ 

Date:   ______________________________________ 
 
Name of Head of Institution or Authorized   
Representative:  ______________________________________ 

Position  ______________________________________ 

Signature:   ______________________________________ 

Date:   ______________________________________ 

 
 
 
 
 

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