NOT FOR SALE
(can be reproduced)
Republic of the Philippines
Department of Labor and Employment
Overseas Workers Welfare Administration
Regional Welfare Office - ______
Program Services Division
EDUCATION & TRAINING UNIT
Education and Development Scholarship Program (EDSP)
APPLICATION FORM
(Note: PLEASE FILL UP LEGIBLY) Application No.: _______________
I. APPLICANT’S INFORMATION
Name:__________________________________________
Last First Middle
Birthdate:______________________ Age:____________
Civil Status:______________ Citizenship:____________
Permanent Address:_______________________________
_______________________________________________
Contact Nos: Landline:__________ Mobile:___________
Email Address:__________________________________
No. of Siblings: ____ Family Order: 1
st
[ ] 2
nd
[ ] 3
rd
[ ] Others___
High School Attended: __________________________
_____________________________________________
School Address:________________________________
_____________________________________________
School Tel. No.:________________________________
General Weighted Average (GWA):
3
rd
Year HS ____ 4
th
Year HS ____
II. PARENTS’ INFORMATION:
Name:
Citizenship:
Tribal Affiliation (if any):
Highest Education Attained:
Contact No.:
Email Address:
Employment Data:
Occupation/Position:
Employer / Company Name:
Employer Address:
Gross Monthly Income:
FATHER
__________________________________
__________________________________
__________________________________
__________________________________
Landline: _________ Mobile:__________
__________________________________
__________________________________
__________________________________
__________________________________
__________________________________
MOTHER
_________________________________
_________________________________
_________________________________
_________________________________
Landline: ________ Mobile:__________
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________
I hereby certify that all information given above are true and correct to the best of my
knowledge. I will also abide with the policy of the program on the selection of qualified examinees
for EDSP Scholarship award
Attested by:
Parent / Guardian
(Signature Over Printed Name)
Applicant
(Signature Over Printed Name)
Date: __________________________