OFFICE OF THE MAYOR Recent

Taguig City, Philippines

2x2
LIFELINE ASSISTANCE FOR NEIGHBORS’ IN-NEED ID Picture
(L.A.N.I.) SCHOLARSHIP APPLICATION FORM (taken in the
For NEW Applicants last 6 months)
Instruction:
1. PRINT all entries. Place an X on the appropriate blanks.
2. Be HONEST and ACCURATE with your answers.
3. Arrange your requirements in 3 SETS (Sets A,B & C). Date:_____________________________
SCHOLARSHIP APPLIED FOR

____ Honors (Top _____ of the batch) ____ Priority ____ SUC/LCU
____ Premier ____ Basic ____ Basic Plus
L.A.N.I. Scholarship Program Types & Intended Beneficiaries
SCHOLARSHIP TYPE INTENDED BENEFICIARIES
Honors (Full) Top 10 graduates of public high schools in Taguig.
Those enrolling in, or enrolled in the University of the Philippines System (Luzon Campuses) & other
Premier public & private colleges and universities certified by CHED as Centers of Excellence in the NCR.
Those enrolling in or enrolled in BS Social Work, DOST-listed priority courses in DOST-listed schools,
or if persons with disabilities, must be endorsed by the city PDAO, or if taking up law or medicine, must
Priority be enrolled or enrolling in top performing schools as listed by the Program based on the listing of
PRC/CHED. Preferably enrolled within the NCR.
Graduates of any public high school in Taguig or nearby LGUs in the NCR who are enrolled in any
Basic (Public-Private) private college or university, or in any accredited technical-vocational institution in the NCR.
Graduates of any private school in Taguig or nearby LGUs in the NCR, who are enrolled or enrolling in
SUC/LCU (Private-Public) a State University/College (SUC) or Local College/University (LCU) in the NCR.
Graduates of any public high school in Taguig or nearby LGUs in the NCR, who are enrolled or enrolling
Basic Plus (Public-Public) in a State University/College (SUC) or Local College/University (LCU) in the NCR.
1. Please provide 2 (two) sets of photocopies of all the documents. All photocopied documents should be faithful reproduction of the original.
Bring the original copies of documents for validation purposes. Ask for the “Receiving Copy” upon submission.
2. Fill in ALL the data required in the Application Form and submit ALL the documents during the Application. Scholarship application forms must
be answered completely and those with incomplete requirements shall NOT be accepted, or IF inadvertently accepted, it shall NOT be processed.
3. Submit your Scholarship Application at the L.A.N.I. Scholarship Secretariat Office at the Sen. Renato “Compañero” Cayetano Memorial Science
and Technology High School (Cayetano Science), Pamayanang Diego Silang, Brgy. Ususan, Taguig City, during the application period ONLY.
Check the Scholarship Secretariat (Taguig) FB Account and www. taguig.gov.ph (Programs & Services) regularly for announcements.
4. Please do NOT wait for the last day of the application period if you do not want to be inconvenienced.

CHECKLIST OF REQUIREMENTS TO BE SUBMITTED:

_____ Filled-up Application Form with 2X2 Recent Picture
_____ Enrolment Form for Current Semester/Term with
Official Receipt, if applicable
_____ Authenticated or True Copy of Grades last semester,
with school seal/official signature (for trimester, grades
for the past 2 terms)
_____ Junior & Senior High School Report Card/Diploma/
Other valid proof of having Graduated from High School
_____ Certificate of Good Moral Character
(Issued within the school year)
_____ School ID (back to back photocopy in a single page)
_____ Certificate of Academic Excellence for Top 10 graduates
of Taguig public high school (for Honors/Full scholar applicants)
_____ Voter’s Certification issued by COMELEC, showing that at least one
of the parents of the applicant is a registered voter
(Issued after the May 13, 2019 election)
_____ Voter's Certification of the applicant if 18 years old and above
(Issued after the May 13,2019 election)
_____ Birth Certificate
_____ Other necessary documents to facilitate the processing of your
scholarship application (Transcript or True Copy of Grades since
start of college for New Applicants who are continuing students,
F137, Course Curriculum, PDAO Endorsement and ID (for
PWD Applicants), etc.

PERSONAL INFORMATION
Full Name: ________________________________________________________________________________________________________________________
(Last Name) (First Name) (Middle Name)
Address: ________________________________________________________________________ Barangay: ______________________________________________
District (1 or 2):_________ Year when you started residing in Taguig ___________ Age: ___________ Gender: ______________________
E-mail Address: _______________________________________Contact No.: ___________________________ Religion: ____________________________
Date of Birth:______________________________Place of Birth: ______________________________________ Civil Status(S/M): ___________________
COURSE and SCHOOL

Course: ___________________________________________________________________ Ladderized? ____Yes ____ No GWA last sem: ______________

Year Level: _________ No. of units enrolled: ___________ Course Duration: _____ months_____ 2 yrs _____3 yrs _____4 yrs _____5yrs
Name of School: ___________________________________________________________________________________________________________________________
School Address: __________________________________________________________________________________________________________________________
Graduating this semester/term? ________ Yes _______ No If yes, are you graduating with honors? ______Yes _______ No
If no, how many semesters more to go before you graduate, including the current sem/term? __________________________
Others: ____ Octoberian ____Regular student ____Irregular student Transferee ____________________ Shiftee ___________________
(Previous school) (Previous course)
 EDUCATIONAL BACKGROUND

School
Type Year Honors/
Name of Schools Attended (Indicate School Address Started – Awards
if Public Year Received
or Graduated
Private) (if any)
Senior High
School
Junior 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

Number of siblings in the family (including applicant):_______. Please fill out information below about your siblings:
Civil
Highest Educational If working, indicate where they work &
Name Age Status
Attainment(as of date) their average monthly income
(S or M)

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.

I also understand that this submission of application does NOT automatically qualify me for the scholarship grant and
that I will abide by the decision of the L.A.N.I. Scholarship Management.

Thank you so much.

_________________________________________________________________ Date: ________________________________________

Printed Name & Signature of Applicant

Attested by:

____________________________________________________________________________ Date: __________________________________________

Printed Name & Signature of Parent/Legal Guardian

Investing in education, investing in the City’s Foundation!