[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-341855-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-341855-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","form-i-signed-declaration-of-applicant-and-the-parentlegal-guardianspouse","FORM I - Signed Declaration of Applicant and the Parent/Legal Guardian/Spouse","","FORM I contains the applicant and the parent/legal guardian/spouse signed declaration for the DOST-SEI Scholarship Program. It certifies the truthfulness and completeness of provided information and states that misinformation or withholding information can lead to automatic disqualification. It also grants authorization for background checks and, if necessary, family dwelling visits, and expresses consent for collection and processing of personal data under the Philippines’ Data Privacy Act of 2012 (Republic Act No. 10173) and implementing rules.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/exam/","Exam",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/form-i-signed-declaration-of-applicant-and-the-parentlegal-guardianspouse/341855/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/form-i-signed-declaration-of-applicant-and-the-parentlegal-guardianspouse/341855.png","ImageObject",300,407,{"name":42,"@type":43},"Grenda","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-03","2026-09-22",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",9,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What does the applicant and parent/legal guardian/spouse certify in FORM I?","Question",{"text":63,"@type":64},"They certify that the information provided is truthful and complete. They also attest to the legal statements included in the declaration.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What happens if misinformation is found after the award is accepted?",{"text":68,"@type":64},"The applicant and/or the relevant person may be disqualified, and they are willing to refund all financial benefits received, plus the appropriate interest.",{"name":70,"@type":61,"acceptedAnswer":71},"What authorizations and personal data rights are included in this form?",{"text":72,"@type":64},"They authorize DOST-SEI to conduct a background check and, if necessary, visit the family dwelling. They also consent to personal data processing and affirm rights to be informed, object, access, rectify, and other rights under RA 10173.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},341855,1790140755,{"code":4,"msg":82,"data":83},"success",[84,88,92,95,100,105,110,115,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":93,"slug":94},70,"exam",{"id":96,"doc_module":4,"doc_module_name":25,"category_name":97,"show_sort_weight":98,"slug":99},5,"Comic",60,"comic",{"id":101,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},6,"Technology",50,"technology",{"id":106,"doc_module":4,"doc_module_name":25,"category_name":107,"show_sort_weight":108,"slug":109},7,"Healthcare",40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":96,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":33,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":30,"preview_page_count":4},7971474921005,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","| FORM I-SIGNED DECLARATION OF APPLICANT AND THE PARENT/LEGAL GUARDIAN/SPOUSE |\n| --- |\n| We, the Applicant and my Parent/Legal Guardian/Spouse, hereby certify to the truthfulness and completeness of the information provided. Any misinformation, misrepresentation, or withholding of information will automatically disqualify me/our son/daughter/my spouse from the Department of Science and Technology-Science Education Institute (DOST-SEI) Scholarship Program. We are also willing to refund all the financial benefits received , plus the appropriate interest, if such misinformation is discovered after our child/my spouse accepted the award.\u003Cbr>In connection with this scholarship application , we hereby authorize the DOST-SEI designated representative to conduct a background check on our socio-economic status and to visit our family dwelling , if necessary.\u003Cbr>Moreover, we hereby express our consent for the DOST-SEI to collect, record, organize, update or modify, retrieve, consult, use, consolidate, block, erase , or destroy our personal data as part of our information. We hereby affirm our right to be informed, to object to processing, to access and rectify, to suspend or withdraw our personal data, and to be indemnified in case of damages, pursuant to the provisions of Republic Act No. 10173 of the Philippines, the Data Privacy Act of 2012 , and its corresponding Implementing Rules and Regulations.\u003Cbr>Certified by (must be Applicant):\u003Cbr>Full Name:  \u003Cbr>Signature:  \u003Cbr>Date Signed:  \u003Cbr>Certified by (must be Parent/Legal Guardian/Spouse):\u003Cbr>Full Name:   Relationship\u003Cbr>to Applicant:  \u003Cbr>Signature:  \u003Cbr>Date Signed:  \u003Cbr>NOTE: If this form will be signed by a person identified as NOT the applicant’s parent/spouse, the applicant must indicate a legal guardian in the E-Application System and must submit a notarized Affidavit of Guardianship bearing the name of the signatory as the applicant’s legal guardian.\u003Cbr>Failure to properly complete the form (including the applicant’s/parent’s/legal guardian’s/spouse’s name, relationship to applicant, signature, and date signed) will result in the disqualification of the application for the scholarship. |","cbCaics5uyCSk4ef","https://ap.wps.com/l/cbCaics5uyCSk4ef","pdf",197742,"English","# Applicant and Guardian/Spouse Certification\n## Certification of truthfulness and completeness\n## Consequences of misinformation\n## Authorization for background check and family visit\n## Consent for personal data processing under RA 10173\n## Required signatures and dates\n## Disqualification notice for incomplete form","[{\"question\":\"What does the applicant and parent/legal guardian/spouse certify in FORM I?\",\"answer\":\"They certify that the information provided is truthful and complete. They also attest to the legal statements included in the declaration.\"},{\"question\":\"What happens if misinformation is found after the award is accepted?\",\"answer\":\"The applicant and/or the relevant person may be disqualified, and they are willing to refund all financial benefits received, plus the appropriate interest.\"},{\"question\":\"What authorizations and personal data rights are included in this form?\",\"answer\":\"They authorize DOST-SEI to conduct a background check and, if necessary, visit the family dwelling. They also consent to personal data processing and affirm rights to be informed, object, access, rectify, and other rights under RA 10173.\"}]","FORM I - Signed Declaration of Applicant and the Parent/Legal Guardian/Spouse | PDF",1790044179]