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FAR EASTERN UNIVERSITY

ADMISSIONS AND FINANCIAL ASSISTANCE


Ground Floor, Arts Bldg. Nicanor Reyes Stree, Sampaloc Manila
Telephone No. (02) 735-5621 to 30 local 251/295, (02) 736-0036
www.feu.edu.ph
Note: Accomplish this form accurately and honestly.
A. General Information
Name :
(Surname) (Given Name) (Middle Name)
Student Number : Year Level : Semester and School Year :
Institute : Degree Program :
Contact Nos :
(Telephone Number) (Mobile Number) (Email Address)
Present Address :
No. Street City/Municipality Province Zip Code
Provincial Address :
No. Street Brgy./District City/Municipality/Province Zip Code
Birth Date : Birth Place : Age :
Civil Status : Gender : Citizenship :
First Enrollment in FEU : Last Enrollment in FEU :
(Semester) (School Year) (Semester) (School Year)
B. Family Profile
C. Other Information
Range of monthly family income (check one).
Below P 12,000.00 Above P 12,000.00 Above P 20,000.00 Above P 30,000.00 Above P 40,000.00
What are the sources of income of your household? (Select all that apply)
Business Real estate rentals Commissions Others
Practice of profession Salaries or wages Earnings from investments
Farms/haciendas/fishponds Remittances from abroad Pensions
Does your family have any of the following?
Include only those that are in good working condition and have been purchased or acquired by your family within the last ten (10) years.
Please indicate in the box the number of working units.
AM/FM Radio Tablet Electric stove
Stereo/audio system Desktop personal computer LPG stove
Karaoke Notebook/laptop personal computer Wood/charcoal/kerosene stove
Piano/organ/electronic keyboard Refrigerator Microwave oven
Cell phone Upright or chest-type freezer Electric cooking range with oven
Television set Washing machine LPG cooking range with oven
Video player (e.g., DVD/VCD player, VHS player) Heated electric clothes dryer Electric water heater
Video camcoder Air conditioner Electric water pump and tank
Computer game system (e.g., Sony PSP) Electric Fan
FEU/QSF-AFA.10 Rev.#00 Effectivity Date:Oct. 21, 2013
School Attended or
Graduated From
Name of Employer
Occupation
Previous Year's Gross Income
Previous Year's Income Tax
No
Yes
With Scholarship?
No Yes No Yes
Name of Sibling Age
Relationship to the
Applicant
Studying? Educational
Attainment
School Attended or
Graduated From
Still
Living?
Yes, Living
Abroad?
No
Age
Educational Attainment
FEUCSO SCHOLARSHIP APPLICATION FORM
Mother/Stepmother Legal Guardian Father/Stepfather
Name
THIS FORM DOES NOT GUARANTEE
AUTOMATIC GRANT OF SCHOLARSHIP.
2 x 2
ID Picture

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