Lifeline Assistance For Neighbors' In-Need Scholarship Application Form For Bar/Board Review Assistance Applicants
Lifeline Assistance For Neighbors' In-Need Scholarship Application Form For Bar/Board Review Assistance Applicants
Lifeline Assistance For Neighbors' In-Need Scholarship Application Form For Bar/Board Review Assistance Applicants
This is a one-time assistance for residents who have already graduated, and are preparing for
Review their licensure/board or bar examinations.
Please provide 2 sets of all the documents. All photocopied documents to be submitted should be faithful
reproduction of the original. Bring the original copies of documents for validation purposes. Ask for the
“Receiving Copy” upon submission.
REQUIREMENTS TO BE SUBMITTED
_____ Filled-up Application with 2X2 Recent Picture _____ Copy of the Application Form submitted to the PRC for
_____ Copy of Certificate of Graduation board examinees or Supreme Court in case of Bar
_____ Endorsement from the Dean of the school Reviewees
Certifying that the applicant is about to take the _____ Notice of Admission (NOA) issued by PRC
Board or bar examination _____ Voter’s Certification of the applicant
_____ Certificate of Good Moral Character _____ Voters Certification issued by the COMELEC showing
_____ Valid ID back to back (photocopy) that at least one of the parents of the applicant is a
_____ Other necessary documents to facilitate the processing registered voter (Issued after the May 13,2019 election)
of your scholarship application (TOR)
PERSONAL INFORMATION
Full Name: ___________________________________________________________________________________________________________________
(Last Name) (First Name) (Middle Name)
Address: _____________________________________________________________________________________________________________________
Barangay: _____________________________________ E-mail Address: _______________________________________________________
Mobile Phone No.:________________________________ Contact No.: _________________________ Age: ________________________
Date of Birth:______________________ Place of Birth: _____________________________ Years of Residency in Taguig: _________
Gender: _____ Marital Status: _________ Citizenship:_______________ Religion: ___________________________________
Have you been the object of any disciplinary action in school? ____Yes _____ No
Have you been accused or convicted of any offense/crime? ____ Yes _____ No
If the answer to any of the last 2 questions above is “Yes,” please provide details:
_______________________________________________________________________________________________________________________
Are you working? ___Yes ___ No. Where? ________________________________________ Gross monthly salary: P_____________
Complete Application must be submitted at least two (2) weeks before the board or bar
examination date.
EDUCATIONAL BACKGROUND
School Year
Type Started – Honors/Awards
Name of Schools Attended (Indicate if School Address Year Received
Public or Graduated (if any)
Private)
Graduate Studies (if any)
College
High School
Elementary
FAMILY BACKGROUND
FATHER MOTHER HUSBAND/WIFE
( ) Living ( ) Deceased ( ) Living ( ) Deceased (If Married)
Name
Address
Contact No.
Occupation
Place of Work
Highest
Educational
Attainment
Ave. Monthly
Income
Residence: _______Owned by family______ Owned by relatives ______ Renting _____Paying-to-own _____Others (pls
specify): __________________________ If renting or paying-to-own, how much are you paying monthly?: P______________
Does the family have any outstanding loan? ____Yes ___ No. If yes, how much (total)? P__________________ What was
the loan or loans used for? _______________________________________________________________________________________________
How much is your latest monthly electric bill?: P_____________ How much is your latest water bill?: P_______________
Number of siblings in the family (including applicant):_______. Please fill out information below about your
siblings:
Age Marital Highest Educational If working, indicate where
Status Attainment they work & their average
Name (M or S) (as of date) monthly income
I hereby certify that ALL the answers given above are TRUE and CORRECT to the best of my knowledge, and the
attached documents are FAITHFUL REPRODUCTION of the original copies. I further acknowledge that ANY ACT
OF DISHONESTY OR FALSIFICATION MAY BE A GROUND FOR MY DISQUALIFICATION from this scholarship
program. Thank you very much.
_________________________________________________________
Printed Name & Signature of Applicant