PETRON SCHOLARSHIP GRANT AND SPECIAL RECRUITMENT PROGRAM

Control No. Issue Page

PSG-001 1 (01.28.13) Page 1of 2

APPLICATION FORM
Last Name: Current Address: Permanent Address: Phone: Birth Date: Course: Email Address: Birth Place: Year: Citizenship: Regular? YES NO First: M.I. Nickname:

Reason for Applying for the Scholarship Grant:

Do you have existing scholarship grant? YES NO If so, What Scholarship?:

Are you willing to be employed in Petron Bataan Refinery as part of the return service contract of the Petron Scholarship Grant?

YES NO

EDUCATION
High School: Honors/Recognition: College: Honors/Recognition: Are you a consistent honor student? Current Affiliations/Organizations : YES NO Current Grade Point Average (GPA):

FAMILY
Father Parrent's Name: Occupation: Employer/Address: Phone/Email Address: I CERTIFY THAT ALL THE INFORMATION PROVIDED ARE TRUE AND COMPLETE APPLICANT: PARENT/GUARDIAN: DATE: Mother

CONFIDENTIAL PROPERTY OF PETRON CORP. REFINING DIVISION, ANY MISUSE OR MISAPPROPRIATION, INCLUDING UNAUTHORIZED COPYING, REPRODUCTION IN ANY FORM, DISCLOSURE OR PUBLISHING OF THIS DOCUMENT OR ANY INFORMATION HEREIN IS STRICTLY PROHIBITED.

PETRON SCHOLARSHIP GRANT AND SPECIAL RECRUITMENT PROGRAM

Control No. Issue Page

PSG-001 1 (01.28.13) Page 2 of 2

APPLICATION REQUIREMENTS (To be submitted to the University's Scholarship Coordinator)

REMARKS REMARKS

1. 2. 3. 4. 5. 6. 7.

Accomplished Application Form Detailed Resume/CV with Current Photo Certified True Copy of Grades (1st Yr. to Current Yr.) Certificate of Good Moral Character Certificate of Good Health Recommendation from the Department/College of Eng'g. Essay, "Why Do I Deserve the Petron Scholarship Grant?"

YES YES YES YES YES YES YES

NO NO NO NO NO NO NO

CONFIDENTIAL PROPERTY OF PETRON CORP. REFINING DIVISION, ANY MISUSE OR MISAPPROPRIATION, INCLUDING UNAUTHORIZED COPYING, REPRODUCTION IN ANY FORM, DISCLOSURE OR PUBLISHING OF THIS DOCUMENT OR ANY INFORMATION HEREIN IS STRICTLY PROHIBITED.