CHED Merit Scholarship Program Application Form AY 2023-2024

Instructions: Read General and Documentary Requirements. Fill in all the required information. Do not leave an item blank. If item is not applicable, indicate "NA".
ELIGIBILITY REQUIREMENTS
  1. Filipino Citizen
  2. Graduating Grade 12 students
  3. General Weighted Average (GWA) of atleast 93% or above
  4. Combined annual gross income of parents/guardian not to exceed Four Hundred Thousand (PhP400,000.00) or in cases where the income exceeds Php400,000 an applicant must present a written certification or medical findings of illness of a family member, or school certifications of two or more dependents enrolled in college.
  5. Avail of only one government funded financial assistance program.
DOCUMENTARY REQUIREMENTS
  • Duly certified true copy of grades for Grade 11 and 1st semester of grade 12 for graduating high school students
  • Photocopy of birth certificate.
  • Latest Income Tax Return (ITR) of parents or guardian if employed
  • Certificate of Tax Exemption from the BIR
  • Certificate of Indigence from their Barangay
  • Certificate/Case Study from DSWD
  • Latest copy of contract or proof of income for children of Overseas Filipino Workers (OFW) and seafarers.

Personal Information

Last Name
First Name
Middle Name
Ext. Name
Birthdate
Place of Birth
Sex
Civil Status
Province
Street/Barangay
Town
District
Zip Code
Mobile No.
Email
Facebook Name/Username

Family Background

(If applicable. Do not reinstate your parent.)
No. of siblings in the family
Parent(s)/Guardian Annual Gross Income
Is your family a beneficiary of the DSWD's Pantawid Pamilyang Pilipino Program (4ps)?

Academic Information

Applicant's Type
LRN
Year Level in AY2023-2024
((Grade 11 GWA 1st Sem + 2nd Sem) + GWA of Grade 12 1st Sem) divide by 3, if completed Grade 12 (Grade 12 1st Sem + 2nd Sem) divide by 2
Name of School Last Attended
GWA
College Intended to Enroll/Enrolled In
Degree Program/Course (Non Priority Course-NPC)

Additional Academic Information

Are you enjoying other source of educational/financial assistance?
Type of Scholarship
Grantee Institution/Agency

Other Information & Attachments

Please specify membership:
If yes, select Type of Disability
Please specify:

ID Picture
2x2 Picture
Birth Certificate
Birth Certificate
Report Card/Grades
Report Card/Grades (Collage Grade 11 & Grade 12)
Proof of Income
Proof of Income