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Grant-In-Aid Form: (Submit To HRO 1 Month Prior The Start of The Term)

The document is a grant-in-aid form for Xavier University. It collects personal information from the student applicant such as name, address, contact details, level of study, and family details including names, ages, and highest educational attainment of parents and spouse. The form requires signatures from the student, parents if the student is a minor, and relevant university departments to recommend and verify the application. It also specifies the terms and levels of financial aid that may be granted.

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Victor Faeldon
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41 views1 page

Grant-In-Aid Form: (Submit To HRO 1 Month Prior The Start of The Term)

The document is a grant-in-aid form for Xavier University. It collects personal information from the student applicant such as name, address, contact details, level of study, and family details including names, ages, and highest educational attainment of parents and spouse. The form requires signatures from the student, parents if the student is a minor, and relevant university departments to recommend and verify the application. It also specifies the terms and levels of financial aid that may be granted.

Uploaded by

Victor Faeldon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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XAVIER UNIVERSITY Recent Photo

ATENEO DE CAGAYAN of applicant


1”x1”
GRANT-IN-AID FORM
(Submit to HRO 1 month prior the start of the term)

Revised 03/2016
DEPT/UNIT:

PERSONAL INFORMATION OF STUDENT


NAME OF APPLICANT LAST NAME FIRST NAME MIDDLE NAME GENDER AGE
(as it appears in the birth certificate)

PARENTS’/GUARDIANS’ CONTACT NUMBER BIRTHDAY: (mm/dd/yyyy)


HOME: OFFICE: CELLPHONE:
HOME ADDRESS: BIRTH ORDER: (1st, 2nd, 3rd, 4th, etc.)

LEVEL/ACADEMIC TERM FOR WHICH GRANT-IN-AID IS TO BE APPLIED


GRADE SCHOOL HIGH SCHOOL COLLEGE GRADUATE SY / SEMESTER / SUMMER _______ __

LEVEL __________________________ COURSE (If College or Graduate) ______________________________________


FATHER’S NAME AGE HIGHEST EDUCATIONAL ATTAINMENT

MOTHER’S NAME AGE HIGHEST EDUCATIONAL ATTAINMENT

NAME OF SPOUSE AGE HIGHEST EDUCATIONAL ATTAINMENT

We hereby certify that all the information given here is true and correct, and you are hereby authorized to verify the
same. We understand that misrepresentation of information or withholding of information requested in this application
form will be considered reason for disapproval or cancellation of grant-in-aid.
If applicant is a minor __________________________________ _______________________________
Father’s Signature over Printed Name Mother’s Signature over Printed Name

If applicant is of legal age (21 or older) _________________________________


Applicant’s Signature
*This is to authorize Finance Office to deduct the balance not covered by GIA.

BOOKS

TUITION & FEES __________________________________________


EMPLOYEE’S PRINTED NAME & SIGNATURE
If the student is an XU employee, please encircle: Relevant / Not Relevant to the current work assignment.

____________________ __________
Unit Head Signature Date

I understand that ONLY enrolled degrees relevant to the teacher’s current work are considered for ranking, promotions,
and base pay increases due to attainment of graduate degrees.

CONFORME:
Employee’s Signature: ____________________
RECOMMENDED:
1 HUMAN RESOURCES OFFICES ________________________________ XUTELFA XUNTELU
1 Date:_____________________________ OTHERS

VERIFIED BY: _______________________________


2 OFFICE OF SCHOLARSHIP & FINANCIAL AID
FINANCE OFFICE: 100% Tuition OTHERS TOTAL AMOUNT OF THIS GRANT:
3
50% Matriculation ______________________________

*Required Field

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