CHED STUDENT FINANCIAL ASSISTANCE PROGRAMS (StuFAPs) APPLICATION FORM

SY 2019-2020
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Google Forms <forms-receipts-noreply@google.com> Sun, Apr 28, 2019 at 9:00 AM

To: jorecandacup16@gmail.com

Thanks for filling out CHED STUDENT FINANCIAL ASSISTANCE PROGRAMS (StuFAPs) APPLICATION
FORM SY 2019-2020

Here's what we got from you:

CHED STUDENT FINANCIAL ASSISTANCE

PROGRAMS (StuFAPs) APPLICATION FORM SY
2019-2020

Email address *

jorecandacup16@gmail.com

PRIVACY NOTICE

The right to privacy is well stated in the 1987 Philippine Constitution particularly in Sections I, III, VI, VIII
and XVII of the Bill of Rights. It is also safeguarded by several provisions of the Civil Code and the
Revised Penal Code, among others. As such, R.A. No. 10173 or the Data Privacy Act of 2012 was enacted
to uphold the citizens’ right to privacy through responsible handling of data. In compliance, the
Commission on Higher Education (CHED) recognizes the right to privacy of its internal and external
stakeholders.

Personal Information collected by the Commission through this site will be used primarily for the
effective of the implementation of Student Financial Assistance Programs. Information collected from
users will not be used for marketing or commercial purposes.

This privacy policy, however, only applies to this site as other websites may have privacy and user
policies which are different from the Commission’s.

I Agree to terms and services

 PERSONAL INFORMATION

Instruction: Fill-in all the required information (ALL CAPITAL LETTERS). Do not leave an item blank. If an
item is not applicable, indicate "N/A".

LAST NAME: *

DACUP

FIRST NAME: *

JORECAN

MIDDLE NAME: *

ENAD

NAME SUFFIX: *
(e.g. SR., JR.)
N/A

2x2 ID PICTURE: *
Please use your latest 2x2 ID picture.
Files submitted:
IMG20190113190049 - Jorecan Dacup.jpg

DATE OF BIRTH: *

May 12 1999

PLACE OF BIRTH: *

CATARMAN, CAMIGUIN

SEX: *

FEMALE
 MALE

CIVIL STATUS: *

SINGLE

CITIZENSHIP: *

FILIPINO

MOBILE NUMBER: *

09269665273

PERMANENT MAILING ADDRESS

PROVINCE: *
To those who live in Cagayan de Oro City or in Iligan City, please select 'Cagayan de Oro' or 'Iligan'.
CAMIGUIN

CITY/MUNICIPALITY: *

CATARMAN

BARANGAY/STREET: *
Please indicate your Purok, Barangay Name, Street Name accordingly. (e.g. Purok 5 Barangay Del
Carmen Jamille St.)
PUROK 3, LOOC, CATARMAN, CAMIGUIN

ZIP CODE: *

9104

PREVIOUS SCHOOL NAME ATTENDED: *

Please do not abbreviate.
PHINMA- CAGAYAN DE ORO COLLEGE
ADDRESS OF PREVIOUS SCHOOL ATTENDED: *

CARMEN, CAGAYAN DE ORO CITY

TYPE OF PREVIOUS SCHOOL: *

PUBLIC

PRIVATE

HIGHEST GRADE/YEAR LEVEL ATTAINED: *

1ST YEAR COLLEGE

WITH EARNED UNITS IN COLLEGE

GWA: FIRST YEAR *

Please indicate your total General Weighted Average (GWA) in percentage.
89

FAMILY BACKGROUND

Instruction: Fill-in all the required information (ALL CAPITAL LETTERS). Do not leave an item blank. If an
item is not applicable, indicate "N/A".

FATHER: *

LIVING

DECEASED

FATHER'S FULL NAME: *

Name format: SURNAME, FIRST NAME, MIDDLE NAME (Ex. DELA CRUZ, JOHN FORD)
DACUP, CANDIDO OCLARIT JR.

FATHER'S HOME ADDRESS: *

LOOC, CATARMAN, CAMIGUIN

FATHER'S OCCUPATION: *

DRIVER

FATHER'S EDUCATIONAL ATTAINMENT: *

PRIMARY: ELEMENTARY LEVEL

MOTHER: *

LIVING

DECEASED

MOTHER'S MAIDEN NAME: *

Name format: SURNAME, FIRST NAME, MIDDLE NAME (Ex. CORTEZ, MIA CRUZ)
ENAD, JENNIFER TANGUB

MOTHER'S HOME ADDRESS: *

LOOC, CATARMAN, CAMIGUIN

MOTHER'S OCCUPATION: *

HOUSEWIFE

MOTHER'S EDUCATIONAL ATTAINMENT: *

TERTIARY: COLLEGE - UNDERGRADUATE LEVEL

NUMBER OF SIBLINGS IN THE FAMILY: *

TOTAL PARENTS ANNUAL GROSS INCOME: *

120000
BELONGS TO: (any of the following groups) *

SOLO PARENT AND THEIR DEPENDENTS

SENIOR CITIZEN

DIFFERENTLY ABLED PERSONS/PWD

INDIGENOUS AND ETHNIC PEOPLE

NONE

TYPE OF DISABILITY: (If applicable)

If you selected "DIFFERENTLY ABLED PERSONS/PWD", please indicate below.
N/A

INDIGENOUS AND ETHNIC GROUP: (If applicable)

If you selected "INDIGENOUS AND ETHNIC PEOPLE", please indicate below.
N/A

Instruction: Fill-in all the required information (ALL CAPITAL LETTERS). Do not leave an item blank. If an
item is not applicable, indicate "N/A".

SCHOOL INTENDED TO ENROLL IN: *

Please do not abbreviate. For ongoing college students, please indicate your current school.
PHINMA- CAGAYAN DE ORO COLLEGE

ADDRESS OF SCHOOL INTENDED TO ENROLL: *

CARMEN, CAGAYAN DE ORO CITY

TYPE OF SCHOOL: *

PUBLIC

PRIVATE

COURSE: *
Please do not abbreviate.
BACHELOR OF SCIENCE IN ACCOUNTANCY
 MAJOR IN: (If applicable)

N/A

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