2” X 2”
Picture
APPLICATION FORM
Type of Grant ___ _____________________________________________________
Name of Applicant ___________________________________________________________________________
(Legal Name on Birth Certificate)
Family Name
Given Name/s
Middle Name
NOTE: This form should be accomplished correctly and completely by the parents/ guardian of the applicant. PLEASE ANSWER
THIS QUESTIONNAIRE CAREFULLY, COMPLETELY AND HONESTLY. Applications with INCOMPLETE INFROMATION AND
WITHOUT THE REQUIRED DOCUMENTS will NOT be processed. Parents may be called for interview for clarification of the
information given. PLEASE SUBMIT THIS FORM TOGETHER WITH THE FOLLOWING REQUIREMENTS IN A LONG BROWN
ENVELOPE BY APRIL 21, 2012.
1. QUALIFICATIONS AND BENEFITS
Grant
MTC ASSIST Full
MTC ASSIST Partial
Metrobank Foundation
Megaworld Foundation
(except for Nursing and HNCA programs)
Qualifications
WPA of at least 87.00, no grade <83.00
Annual Gross Family Income of P300,000
for family of four. In excess of four, per
capita income of P75,000.
Not committed any major offense
Not a recipient of any private or public
scholarship grant
WPA of at least 85.00, no grade <83.00
Annual Gross Family Income of P300,000
for family of four. In excess of four, per
capita income of P75,000.
Not committed any major offense
Not a recipient of any private or public
scholarship grant
GWA of at least 85.00
Annual Gross Family Income of P300,000
(parents/guardians)
Not committed any major offense
Not a recipient of any private or public
scholarship grant
WPA of at least 85.00, with no failing grade
Annual Gross Income of P300,000
(parents/guardians)
Not committed any major offense
Not employed with businesses that directly
compete with Megaworld Corporation
Not a recipient of any private or public
scholarship grant
Benefits
 100% coverage on tuition and
miscellaneous fees
 100%
coverage
on
RLE
and
affiliation/practicum fees
 Financial assistance on book and uniform
expenses
 Financial assistance on living expenses
 100% coverage on tuition fees
 50% coverage on miscellaneous fees
 50%
coverage
on
RLE
and
affiliation/practicum fees
 100% coverage on tuition
miscellaneous fees
 100%
coverage
on
RLE
affiliation/practicum fees
 Semestral allowance
and
 100% coverage on tuition
miscellaneous fees
 100%
coverage
on
RLE
affiliation/practicum fees
 Semestral allowance of P10,000
and
Page 1 of 13
and
and
2. REQUIREMENTS
Parents’ /Guardian’s detailed personal letter about the family’s financial situation justifying the need for financial
assistance.
One (1) 2x2, white background, most recent photograph of applicant. For Megaworld Foundation applicants: Two 2x2 and
one 1x2, white background, most recent photograph of applicant; and photograph of applicant with family/guardian. Print
name at the back of the picture.
For employed parents: Income Tax Return of Certificate of Compensation Payment/Tax withheld for the previous year,
Certificate of Employment and Compensation from (including bonuses, allowances and commissions). OFW’s must submit
employment contract.
For self-employed parents: Submit Business/DTI Permit, detailed description of the business and an income and expenses
financial statement of the previous year.
For parents not filling an ITR: Please indicate in the letter the reason for non-filing. Provide certified true copy of
Certificate of Non-Filing from Bureau of Internal Revenue (BIR).
If parent/guardian is retired, submit retirement and/or pension voucher.
Siblings and other relatives currently helping out with the expenses of the family including educational expenses may be
required to submit the abovementioned documents.
Proof of latest electricity and water billing statement. If statement is registered under the applicant’s parents/guardian’s
name, include an certification letter from property owner.
For incoming freshmen: Copy of grades from First Year to Fourth Year High School
For Megaworld Foundation applicants: Certificate of Upper 10% Class Ranking of Graduating Batch from High School
Principal
For incoming II-IV: Certified True Copy of Grades beginning the student’s first semester of entry
Certificate of Good Moral Character from the Student Discipline Department or High School Principal/ Guidance
Counselor, whichever is applicable
Vicinity Sketch of Residence. Draw a map that shows how to get to Manila Tytana Colleges form your house. Indicate
major streets and landmarks. Put an “X” mark on the location of your house. See Page 13.
Certificates and/or Certification of Leadership, Extra/Co-curricular involvement of the Applicant.
Write the complete name of the applicant at the upper left hand corner of the brown envelope following this format:
LAST NAME, GIVEN NAME, MIDDLE NAME
Page 2 of 13
(For MTC Assist Grant in Aid applicants only.)
LETTER OF UNDERTAKING
_______________________
Date
DR. SERGIO S. CAO
President
Manila Tytana Colleges
Dear Dr. Cao:
This is to formally signify my intention to apply for a scholarship grant from Manila Tytana Colleges. I
understand that I have to complete all documentary requirements for my application to be considered, and
I commit to submit all necessary supporting papers, including but not limited to, certified true copies of my
parents’ statement/s of income tax return, statement of assets and liabilities, report of grades, certificate of
good moral character, medical certificate, any other document that I may be required to submit.
I agree to submit myself to the criteria established by the MTC Scholarships Department in the selection of
qualified and deserving candidates and its procedures in the processing of my application. I understand that
the decision of the Selection Committee is final and unappealable.
If I am selected as a scholar of the Manila Tytana Colleges, I undertake to render service to either the Manila
Tytana Colleges or any other subsidiaries or partner of the Metrobank Group of Companies if deemed
necessary for a period equivalent to the number of years that I will enjoy the scholarship. Should I fail to
comply with this service obligation, I understand that the College may pursue whatever legal remedies are
available to it.
Respectfully Yours,
__________________________
Applicant
(Printed Name & Signature)
____________________________
Parents/ Guardian of Applicant
(Printed Name & Signature)
Page 3 of 13
PERSONAL DATA
Current Address: ( ) Home
( ) Dormitory/ Boarding House
( ) Others
Street Address:
Barangay:
City/ Municipality:
Province:
Zip Code:
( ) Living with Relatives
Permanent Address: (if other than address provided in current address)
Street Address:
Barangay:
City/ Municipality:
Province:
Zip Code:
Cost of one-way transport: (cheapest rate)
PHp
Means of Transport: (plane, boat or bus, etc.)
How many times a month does the applicant
go home to specified permanent address?
Date of Birth (mm/dd/yyyy)
Religion
E-mail Address
Place of Birth
Nationality
Landline #
Gender
Civil Status
Mobile #
EDUCATION
ELEMENTARY LEVEL (use additional sheet if necessary)
School / Location
Year Graduated
General Average
Year Graduated
General Average
Honors / Awards Received [include non-academic]
SECONDARY LEVEL (use additional sheet if necessary.)
School / Location
Honors / Awards Received [include non-academic]
School Involvement and Position
Special Trainings/ Workshops/ Seminars Attended
Type of High School (check appropriate option)
( ) Public General
( ) Public Special (science, arts, etc.)
( ) Public Vocational
( ) Private Barrio/ Barangay
( ) Private Sectarian
( ) Private Non-Sectarian
Amount of tuition and other fees paid in Applicants’ senior year in high school?
Did the Applicant enjoy any form of scholarship or financial aid in high school?
If yes, please specify grant
Total amount of grant received?
Page 4 of 13
For applicants who are currently enrolled at MTC:
Year Level
Course
Student No.
Is the applicant staying in a boarding house or dormitory / or renting an apartment/ studio/ condominium unit, etc.?
( ) Yes ( ) No
Monthly Board PHp
Monthly Lodging PHp
Who pays for board and/ or lodging fees?
Relation to applicant
Mode of transport from Applicant’s current address to MTC?
( ) Family Vehicle
Owned? ( ) Yes
( ) No
( ) Motorcycle/ Scooter
If No, how was the vehicle acquired/ whose is it/ who owns it?
( ) Bicycle/ Walk
Owner:
( ) Carpool
( ) Public Transport
Type of Public Transport
(Residence-MTC-Residence)
No. of Rides
Unit Amount
Total Amount
Tricycle / Pedicab
Jeepney
Bus
MRT/ LRT
Cab/ Taxi
Others ____________
TOTAL
Is the Applicant a working student?
( ) Yes, Full Time
Name of Company/Employer:
Name of Immediate Supervisor:
Address:
Telephone No.:
Is this business/company family owned?
P ________________________
( ) Yes, Part Time
( ) No
Monthly Income:
Who finances the Applicants’ schooling? (check all applicable means)
( ) Parents
( ) Self
( ) Scholarship, Name of Scholarship:
Total Amount of Scholarship
( ) Educational Plan, Name of Company and Plan:
Total Amount of Plan:
( ) Others (e.g. relatives, etc.)
Estimated amount of financial support per semester:
Does the Applicant have a passport? ( ) Yes
( ) No
If yes, please provide passport number.
Has the Applicant traveled outside the country in the last 5 years? ( ) Yes
( ) No
If yes, who financed the trip? (check applicable item below)
( ) Parents
( ) Siblings
( ) Relatives
( ) Others, please specify:
Page 5 of 13
FAMILY BACKGROUND
Status of Parents
Living Together
RELATION
Separated
Single
Father Deceased
FATHER
Mother Deceased
MOTHER
Name
Age
Birth Date
Permanent Home Address
Tel. No.
Mobile No.
Email Address
Highest Educational Attainment
School or College
Living Abroad? (Yes or No)
Previous Year’s Gross Income
Amount of Income Taxes Paid (most recent)
If employed
Occupation/Position
Employer
Business Address
Business Tel. No.
Average Monthly Income
Annual Additional Income
(allowances, per diem, bonuses, etc.)
If self-employed
Nature of work
Number of years in business
Annual gross income
Annual net profit
If unemployed
Last company joined
When
Reason/s for being unemployed
If not living with parents
Name of Guardian:
Relationship to applicant:
Employer:
Occupation/ Position
Monthly Income
Does he/she contribute to the family expenses? (Yes/No)
If not, who is funding the house expenses?
HOUSE COMPANIONS other than parents and siblings (use additional sheet if necessary)
RELATION
Name
Relationship to Student
Age
Civil Status
Tel. No./Mobile No.
Occupation/ Year or Level
(if student)
Employer/ School
Business Address
Business Tel. No.
Average Monthly Income
Sharing with house expenses?
Yes/No
Page 6 of 13
BROTHERS AND SISTERS (use additional sheet if necessary)
Total Number of Siblings:
RELATION
Name
Age
Year of Birth
Civil Status
If with children,
please indicate how many
Permanent Home Address
Currently living with family?
Number of Working Sibling/s:
Sibling 1
Number of Studying Sibling/s:
Sibling 2
Sibling 3
(Yes/No)
If No, indicate if he/she is living
abroad or not
Telephone No.
Mobile No.
Highest Educational Attainment
School or College
Received Scholarship? (Yes/No)
School Fees per Year (if student)
Occupation/Year or Gr. Level
Employer
Business Address
Business Tel. No.
Average Monthly Income
Previous Year’s Gross Income
Does any of the Applicant’s brothers/sisters/stepbrothers/stepsisters contribute to the family’s expenses? ( ) Yes ( ) No
If Yes, is the contribution regular? ( ) Yes
( ) No
What is the frequency of the contribution?
( ) Once a month
( ) 3-4 times a month
( ) Once every three months
( ) Twice a month
( ) Once every two months
( ) Others
How much is the average contribution? P
Who contributes?
Does the Applicant have any relatives (whether here or abroad) who contribute in meeting the family expenses? ( ) Yes ( ) No
If yes, how much is the average annual contribution? P
If assistance is not in cash, what kind of help do they give?
How many household help are living with or working for the family:
Number
Maid (s)
Houseboy(s)
Yaya (s)
Cook (s)
Gardener (s)
Driver (s)
Other (s)
Does the Applicant’s family have a security guard? ( ) Yes ( ) No
If yes, ( ) Hired by the village/ condominium/apartment
Total Monthly Salary
( ) Hired by the family
Monthly Salary
Page 7 of 13
FINANCIAL STATUS (Please answer thoroughly)
Please provide the following data as completely and honestly as possible. Otherwise, the application will be considered INCOMPLETE, thus, will
not be processed. Put NA if not applicable.
FAMILY INCOME (Annual Gross)
Combined Annual Pay (father, mother)
PHp
Combined Annual Pay (brother, sister)
Income from Business
Income from Land Rentals
Income from Res/Bldg Rentals/Lease
Retirement Benefits/Pension
Commissions
Financial Support from Relatives
Bank Deposits
Others (Specify)
Total Annual Income
PHp
FAMILY EXPENSES (Monthly)
House Rental
PHp
Food & Grocery
Car Loan /Amortization (specify)
Other Loan Amortization (specify)
Transportation/Gasoline & School Bus
Education Plan Premiums
Insurance Policy Premiums
Health Insurance Premium
SSS/GSIS/PAG-IBIG Loans
School/Office uniform/ Clothing
School Allowance
Electricity, Water, Cable, Cooking Gas
Telephone/Cellphone
Internet fees (DSL, Broadband)
Medicines
Doctor’s fee/Consultation
Hospitalization
Recreation
Others (specify)
Total
PHp
Sub-total x 12 months
PHp
Page 8 of 13
Family Expenses (Annual)
School Tuition & Fees
PHp
Withholding Tax
SSS/GSIS/PAG-IBIG Contribution
Insurance, Plans (per Year)
Others (specify)
Sub-total
PHp
TOTAL ANNUAL EXPENSES
PHp
What are the sources of income of the household? (Please tick all the applicable items)
( ) Salaries or wages
( ) Remittances from abroad
( ) Commissions
( ) Business
( ) Farms/ Haciendas/ Fishponds
( ) Retirement Pension
( ) Practice of Profession (e.g. Lawyer)
( ) Real Estate Rentals
( ) Dividends/ interests/ earnings
from investment
( ) Others
Does the Applicant’s family have/own a business/home industry?
What kind?
No. of Employees
Capital invested
When was the business started?
Annual Net Profit
Does the Applicant’s family have/own farmlands/ fishponds?
No. of Hectares
No. of harvests
Type of crops/ fish produced
No. of workers
Approximate Net Profit per year PHp
DEPOSITS
Type
Bank
Branch
Balance
Face/ Maturity
Value
Savings Account
Checking Account
Time Deposits
Stocks
Government Bonds,
including Treasury Bills
Foreign Currency Deposits
Other Deposits
Note: If annual expenses are higher than annual income, please explain in your letter how you cover for the deficit.
Does any member of the household have a credit card/s? ( ) Yes
If yes, which type/s of credit card/s (check all applicable)
Foreign (e.g. American Express, etc.)
Local Bank (e.g. Metrobank, BPI Express Credit, BDO, etc.)
Local Store (e.g Department store debit cards, etc.)
( ) No
Page 9 of 13
OTHER DATA
Does the Applicant’s family have any of the following household appliances and other possessions?
Appliances
No. of
Year
Acquisition
Balance to be
Monthly
working units Acquired
Cost
Paid
Payment
Air conditioner
Stand/ Desk/ Ceiling/ Wall
Fan
TV Set
CD/VCD/DVD Player
Component Stereo
System
Karaoke/ Videoke
Component
Camera (SLR, Automatic,
Label/ Model/
Units
Manual, or Digital, etc.)
Video or Movie Camera
(Mini Cam Recorder. etc.)
Cellular/Mobile Phone
Portable Electronic
Gadgets
(iPod, iPad, PSP, DS, etc.)
Desktop
Laptop
Electronic Computer
Component (PS3, Family
Computer, Xbox, etc.)
Cordless Phone
(not cellphone)
Gas/Kerosene/Electric
Stove
Microwave/ Oven
Toaster
Water Dispenser
Refrigerator/ Freezer
Washing Machine/
Spinner/ Dryer
Flat Iron
Electric Supplied Musical
Instruments
Non- Electric Instruments
Facilities/ Services part of household expenses stored in the Applicant’s house/ residence
1. Number of Telephone Units (landlines not cell phones):
DSL? (Yes/No)
2. Electric water pump/ tank
( ) Yes
( ) No
3. Mobile Phone Services:
( ) Post-paid
Total Monthly Cost:
( ) Pre-paid
Estimated Monthly Cost:
Household members’ private life and pre-need insurance (exclude GSIS and SSS)
Name of
Relation to
Insurance/
Face
Total
Insurance
Applicant
Type/ Plan
Amount
Annualized
Premium
Wifi? (Yes/No)
Company
Applicant
Beneficiary
Yes
No
Page 10 of 13
Cars and other motor vehicle owned or regularly used by the family
Make/Yr/Model
Date Purchased
Amt of Purchase
Balance to be Paid
Company/ Family Owned
If the vehicle is company owned, please state who uses the vehicle and its relation to the applicant, what company and specific
purpose does it serve?
USER
___________________________________
___________________________________
___________________________________
___________________________________
COMPANY/ OWNER
__________________________________
__________________________________
__________________________________
__________________________________
If vehicle is provided by company,
a. Does the Applicant’s family own the company or stocks of the company?
b. Is the car under a car loan? ( ) Yes
( ) No
c. Does the company cover gas allowances? ( ) Yes, how much Php
Does the Applicant have other relative/s who help out in the finances?
If Yes, Name/s
What is their relation to the Applicant?
How much money do they send monthly on the average?
PURPOSE
___________________________________
___________________________________
___________________________________
___________________________________
/month
Yes
No
RESIDENCE
Location
House
Apartment
Others
Rented?
Owned?
Size of Lot
Floor Area in Square Meter
a. If rented, how long have the Applicant stayed in this place?
Monthly Rent
b. If owned, name of owner
Relationship to Applicant
Acquired when
Cost Acquired
Present Market Value
Amount of unpaid mortgage
Monthly mortgage payment
No. of bedrooms
No. of baths/ toilets
No. of heads in the household
c. If neither owned nor rented house, name of owner
Relationship to family
Contributions, if any, to house owner Php
d. Does the Applicant have/own other properties (residential/commercial, etc)?
2
Description
Location/ Area (m )
__________________
__________________
__________________
____________ _____
____________ _____
____________ _____
Year Acquired
_________________
_________________
_________________
Value at Acquisition
__________________
__________________
__________________
Does the Applicant earn income from these lots?
( ) Yes
( ) No
If yes, PHp
Is the amount included in the Income Tax Return?
( ) Yes
Does the Applicant have farm animals, agricultural machinery, motorized banca?
( ) No
Helper/s?
Present Market
Value
(as per tax
declaration)
__________________
__________________
__________________
Yearly Net Income
__________________
__________________
__________________
( ) No
( ) Yes
( ) No
Page 11 of 13
REFERENCES
Name
Relation to
Applicant
Company
Position/
Designation
Contact Number
1.
2.
Note: Immediate and extended family are not allowed to be used as reference by Applicant.
Statement of the Student and his/her Family/Legal Guardian/s
We hereby certify that all the data and information and documents submitted are accurate and complete. We
understand that any misinformation and/or withholding of information will automatically disqualify the undersigned
applicant from receiving any financial assistance, or subsidy, and may serve as a basis for the cancellation of the
scholarship grant that may be awarded by the College. Furthermore, if such misinformation and/ or withholding of
information on our part is discovered after the MTC Scholarship Grant has been awarded, it is to our knowledge that we
will be required to reimburse full amount received thru the scholarship grant without prejudice to the filing of
charges against us.
Applicant
Parent/Guardian
(Signature over printed name)
(Signature over printed name)
Date
ACKNOWLEDGEMENT
REPUBLIC OF THE PHILIPPINES)
) s.s.
BEFORE ME, a Notary Public for and in the above jurisdiction, this
day of
, 20
personally appeared
(Name of Parent, Legal Guardian) with Valid ID
with ID No.
issued at
on
, and
(Name of Applicant if applicable), with Valid ID
ID No.
issued at
on
, known to me to be the same person(s)
who executed the foregoing instrument and all attachments and acknowledge to me that the same is their/his true
act and deed.
IN WITNESS WHEREOF, I have hereunto set my hand and seal on the date and place herein above stated.
Doc. No.
Page No.
Book No.
Series of 20
NOTARY PUBLIC
Page 12 of 13
VICINITY MAP FORM
Draw a map that shows how to get from your residence to MTC. State landmarks and names of major streets and use an “X” to
indicate your house in the map.
Pres. Diosdado Macapagal Blvd., Metropolitan Park Pasay City
Direct Line: (632) 859-0816 | Trunk Line: (632) 859-0888
Website: www.mtc.edu.ph
Page 13 of 13