Republic of the Philippines

Department of Agriculture
Bureau of Fisheries and Aquatic Resources Attach your recent ID
Picture here
Fisheries Scholarship Program Secretariat
BFAR-FIDSD, 2/F PCA Annex Bldg., Commonwealth Avenue, Diliman, Quezon City
E-mail: bfarfidsd@yahoo.com Tel. No.: (632) 332-4676 Telefax: (632) 453-8530

APPLICATION FORM
FISHERFOLK CHILDREN EDUCATIONAL GRANT (FCEG)
Fill the necessary information in the unshaded boxes below.
1. Name

Last First Middle

2. Age 3. Sex 4. Civil Status 5. Citizenship 6. Place of Birth

7. Date of Birth 8. E-mail address 9. Annual Family Gross Income

Php_________________________
Day Month Year

10. Mailing Address 11. Contact Number/ s

Name
12. Parents Occupation
Last First Middle
Father
Mother

13. Name of High School Address Graduation Date

14. Have you taken any College

15. If Yes, state the name of the 16. Have you passed the said exam? State
Admission Tests? Check the
College/ University. your score.
appropriate box below.
Yes No Yes No Score

17. Were you ever a subject of any disciplinary

18. If Yes, state the nature and duration of such action.
action? Check the appropriate box below.
Yes No

19. Have you already graduated from High School? Check the Appropriate box. 20. General Weighted Average (GWA):
Yes No

I hereby certify that the answers given above are true and correct to the best of my knowledge and belief.

Applicant’s Signature above Printed Name Date

 SCHOLARSHIP SUPPORT/ PRIVILEGES

1. A full scholarship grant for college studies leading to the degree of Bachelor of Science
in Fisheries
2. Free matriculation and other school fees;
3. Monthly stipend - Php 2,500.00
4. Semestral book allowance – Php 2,000.00
5. Research/ Thesis/ Special Problem support – Php 3,000.00
6. Graduation Support – Php 500.00

GENERAL CRITERIA OF ELIGIBILITY

1. Any high school graduate or 4th year graduating student (SY 2014-2015) who is a son/
daughter of a Registered Fisherfolk;
2. Not more than 20 years old;
3. For high school graduate applicants, he/ she must not be presently enrolled or have taken any
units in any course and the general weighted average should not be lower than 80%;
4. Parent/s must be a Registered Fisherfolk;
5. Must be a resident of the municipality for at least four (4) years.

IMPORTANT :
The following documents must be attached to this application form, otherwise,
the applicant will not be considered. Details below will be filled in by the FSP
Regional Coordinator only.

CHECKLIST OF DOCUMENTARY REQUIREMENTS

Name of Applicant: _____________________________________

1. Authenticated copy of Diploma

2. Authenticated copy of Transcript of Records (Form 137)
3. Authenticated copy of Report Card (Form 138)
4. Authenticated copy of Birth Certificate
5. Latest BIR-Income Tax Return of parents
6. Certification of Residency by the Barangay Chairman/ Municipal Mayor
7. Certification of good moral character from the school head/ principal
8. Membership Certificate (Fisherfolk Association)
9. One (1) recent 2”x 2” ID Picture attached to the filled-up BFAR-FSP
Application Form ********
This is to certify that that applicant has submitted all the requirements for the
BFAR-FSP-Fisherfolk Children Educational Grant Competitive Exams.

_____________________________________
FSP Coordinator’s signature above printed name

BFAR Regional Office: _____________ Date: ____________________