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AfauaticGratt oF Sa, RQURBATS TP Foem 138 ath yer Report Cr 2 ProtocopyerNeDath Cabrero (3) FAR EASTERN UNIVERSITY SS i Liyad ID Picture ADMISSIONS AND FINANCIAL ASSISTANCE Groundrioor Are ita NicarorReve MERIT SCHOLARSHIP GRANT INFORMATION SHEET. Ininectatotatinonbionioc Note: Accomplish this form accurtelyand honesty. Date : ee fame Game aah race es | 3 [Goat sates [sender T[etsenstie [resent ascrss eo rac aE ria [roanaarracese - — _— mae Femecrnos Rane ortigr sea Type of High School: [_Jreguarpubiic [_Jscience Private frearof Graduation [ecress of High Schoo! [wa cstvear Hs [wa Gna Year 19 [awa Gra Year [ewa (ath Yeor 19 Awards Received School Year_|[ ttra Gunicular Activities Organization Position [banned Enrollment in FEU Degree Program semested Gctoolvean (C Farily Profle Father Mother Legal Guardian Name Age Educational Attainment ‘School Attended or Name of Employer Occupation Monthlyincome Telationshiptothe [=%%9] educational | school attended or | th Name of Sibling | Age | Peltonen Attainment | Graduated From No | hereby certify that the above information are true and correct. | understand that any alse information indicated herein may affect mvscholarshio and aood standina in the university. ‘Applicant's Signature over Printed Name FEUA-APA-OSP23 Rew POO Efectvin Date> Mar 25, 2073

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