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Congratulations! You passed the 2019 DOST-SEI Undergraduate Scholarship Examination which you took
last 21 October 2018 and hence, you qualified under RA 7687.
To be able to enjoy the scholarship, you are to pursue a 4- or 5-year Bachelor Of Science (BS) degree program in any
of the priority fields of study at a state university or college or any private higher education institution that is
recognized by Commission on Higher Education as Center Excellence or Center of Development or With FAAP Level
III accreditation for the BS program that you intend to enroll in. Attached is the list of the priority S&T programs for
your reference.
In this regard, you are advised to report with one of your parents or your legal guardian on the schedule indicated
below for the Orientation on S&T Scholarship Policies and Signing of the Scholarship Agreement (SA):
1. Photocopy of 2019 Community Tax Certificate or any government-issued ID(e.g. valid passport, GSIS
ID, postal ID, etc) of Parent/Legal Guardian;
2. Notarized affidavit of guardianship or special power of attorney (if legal guardian); and
3. Black ballpen.
4. 3 pieces white folder
5. 6 pieces 1x1 photo
Upon receipt of this notice, please confirm you attendance (whether you are attending or not attending the above-
cited activity) by using the following format:
Sample: ATTENDING
Mary Joy B. Cruz, RA 7687
Lastly, fill-out the enclosed Reply Slip and send/submit it via mail or email or bring before or on the day of the
Orientation.
Truly yours,
Postal Address: Regional Government Center Telefax. No.: (064) 421-2711/6908 Fax No.: (064) 421-2711
Cotabato City URL: http://www.region12.dost.gov.ph
e-mail address: zenaidalaidan.dost12@gmail.com
Republic of the Philippines
DEPARTMENT OF SCIENCE AND TECHNOLOGY
Regional Office No. XII
REPLY SLIP
DR. ZENAIDA P. HR LAIDAN
Regional Director
Department of Science and Technology
Regional Office XII
As one of those who qualified for the 2019 RA 7687/ Merit Scholarship. I wish to inform you that I am (please check)
Availing of the RA 7687/ Merit Scholarship and attending the Orientation as scheduled.
Deferring the scholarship in AY 2019-2020 because
___________________________________________________ Deferment of scholarship award may be allowed
for medical reasons only.
Not availing of the scholarship because ___________________________________________________
____________________________________________________________________________________________
(Pease state reason for not availing)
________________________________________
________________________________________________
Qualifier (Printed Name & Signature) Parent/Legal Guardian (Printed Name & Signature)
Date: ___________________________________
Postal Address: Regional Government Center Telefax. No.: (064) 421-2711/6908 Fax No.: (064) 421-2711
Cotabato City URL: http://www.region12.dost.gov.ph
e-mail address: zenaidalaidan.dost12@gmail.com