FORM I - SIGNED DECLARATION OF APPLICANT AND THE …

Republic of the Philippines Department of Science and Technology SCIENCE EDUCATION INSTITUTE 2023 DOST-SEI SCIENCE AND TECHNOLOGY UNDERGRADUATE SCHOLARSHIPS APPLICATION FORM Page 1 of 1 FORM I APPLICANT S CERTIFICATION OF NO POST-SECONDARY UNITS EARNED This is to certify that the undersigned has NOT earned any college or post-high school vocational units. _____ Printed Name & Signature of APPLICANT Date _____ Noted by: _____ Printed Name & Signature of Parent or guardian Date _____

We, the Applicant and my Parent/Legal Guardian, hereby certify to the truthfulness and completeness of information provided. Any misinformation, misrepresentation or withholding of information will automatically disqualify me/our son/daughter from the DOST-SEI Scholarship Program. We are also willing to refund all the financial benefits ...

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