SCHOLARSHIPS FOR GRADUATE STUDIES - LOCAL 
 
SCHOLAR NAME: _______________________________ UNID:  __________________________ 
SHEI NAME:  _____________________________________________________________________ 
DHEI NAME:  _____________________________________________________________________ 
PROGRAM: _____________________________________________________________________ 
 
As  stipulated  in  CHED  Memorandum  Order  (CMO)  No.  4,  s.  2017,  Article  VI  (Terms  and  Conditions),  scholars 
must  enroll  in  the  degree  program,  as  approved  by  the  Commission,  or  an  allied  program  under  the  same 
discipline/specialization,  and  may  not  change  the  degree  program  or  Delivering  HEI  (DHEI) once enrolled, and 
while the grant contract is in force.  
 
Furthermore,  scholars  may  pursue  their  degrees  in  any  CHED-recognized  DHEI,  regardless  of  the prospective 
DHEI  indicated  in  their  nomination,  and  without  requiring  prior  approval  from  the  Commission.  Provided,  that 
they  pursue  the  degree  program  approved  for  them  (Memo  from  the  Chairperson,  dated  10  May  2016). 
However,  scholars  are  not  allowed  to  enroll  in  their  Sending  HEI  (SHEI),  except  in  special  circumstances 
approved by the Commission. 
 
CHANGE IN DHEI / PROGRAM 
 
Name of DHEI (according to PNOA) : _______________________________________________________ 
Degree Program: _______________________________________________________________________ 
Admitted: AY _____________ Term _____________ 
 
Name of Prospective DHEI: _______________________________________________________________ 
Prospective Degree Program: _____________________________________________________________ 
Prospective Enrollment Date: AY _____________ Term _____________ 
 
Justification:  
 
__________________________________________________________________________________ 
 
__________________________________________________________________________________ 
 
__________________________________________________________________________________ 
 
​(Attach separate sheet if necessary)  
 
 
I  fully  understand  the  consequences  of  not  completing  my  degree  program  as  indicated  in  my  study  plan. 
Given  the  foregoing,  this  is  to  further  certify  that  the  transfer  will  not  create  any  changes  in  the estimated 
time of completion for my degree program due to the following reasons: ___________________________ 
_____________________________________________________________________________________ 
_____________________________________________________________________________________. 
 
 
 
 
________________________________________ 
Name and Signature of the Scholar and Date Signed 
 
 
 
 
  
 
 
<<LETTERHEAD OF DHEI>> 
 
J. PROSPERO E. DE VERA III, DPA 
Chairman 
Commission on Higher Education 
4/F, HEDC Building, C.P. Garcia Avenue 
Diliman, Quezon City, 1101 
 
Thru : ATTY. CINDERELLA FILIPINA S. BENITEZ-JARO 
Executive Director IV 
Office of the Executive Director 
 
 
This  is  to  inform  your  office  that  the  request  of  ______________________________,  a  student  of 
(Degree  Program)  ____________________________________________  under  the  CHED 
Scholarships for Graduate Studies Local to change DHEIs has been:  
​Approved  
​Disapproved  
 
This is due to (please provide an explanation): __________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
 
 
Furthermore, he/she has been enrolled in our institution from AY ___________ Term ____________ 
to AY ___________ Term ____________.  
 
 
For your consideration. 
 
Noted by:  
 
Name of Grants Management Officer:  ______________________________________ 

Signature:   ______________________________________ 

Date:   ______________________________________ 
 
 
Name of Dean of College:  ______________________________________ 

Signature:   ______________________________________ 

Date:   ______________________________________ 
  
 
<<LETTERHEAD OF SHEI>> 
 
J. PROSPERO E. DE VERA III, DPA 
Chairman 
Commission on Higher Education 
4/F, HEDC Building, C.P. Garcia Avenue 
Diliman, Quezon City, 1101 
 
Thru : ATTY. CINDERELLA FILIPINA S. BENITEZ-JARO 
Executive Director IV 
Office of the Executive Director 
 
This  is  to  inform  your  office  that  the  request  of  ______________________________,  a  student  of 
(Degree  Program)  ____________________________________________  under  the  CHED 
Scholarships for Graduate Studies Local to change DHEIs has been:  
​Approved  
​Disapproved  
 
This is due to (please provide an explanation): __________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
 
In  connection  with  this,  this  is  to  further  certify  that  the  transfer  will  not  create  any  changes  in  the 
estimated  time  of  completion  for  the  degree  program  of  the  scholar  due  to  the  following  reasons: 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________.  
 
He/she is expected to render his/her return service plan starting AY __________ Term __________.  
 
For your consideration. 
 
Noted by:  
 
Name of SHEI Coordinator:  ______________________________________ 

Signature:   ______________________________________ 

Date:   ______________________________________ 
 
Name and Position of Authorized   
Representative:  ______________________________________ 

Signature:   ______________________________________ 

Date:   ______________________________________