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Republic of the Philippines

Department of Science and Technology


SCIENCE EDUCATION INSTITUTE

2023 DOST-SEI SCIENCE AND TECHNOLOGY


UNDERGRADUATE SCHOLARSHIPS APPLICATION FORM
FORM E1 – PRINCIPAL'S CERTIFICATION (For Applicant from the STEM Strand)

TO WHOM IT MAY CONCERN:

This is to certify that ____________________________________ is a member of the Grade 12


(Name of Applicant)

graduating/graduated class under the STEM Strand of the ____________________________________


(Name of School/Address)

for SY ____________.

_______________________________________
Printed Name & Signature of Principal

Date __________________________________

FORM E2 – PRINCIPAL'S CERTIFICATION (For Applicant from the NON-STEM Strand)

TO WHOM IT MAY CONCERN:

This is to certify that ______________________________________ is a member of the Grade 12


(Name of Applicant)

graduating/graduated class under the NON-STEM Strand for the SY________ and is classified within the

upper five percent of _______ students in the graduating class.


(Total Number
of Graduating Students)

________________________________
NOTE: If applicant is an ongoing grade 12, please certify based Printed Name & Signature of Principal
on Applicant’s academic standing as of Grade 11
(i.e. Top 5% of his/her class) Date ___________________________

Page 1 of 3
Republic of the Philippines
Department of Science and Technology
SCIENCE EDUCATION INSTITUTE

2023 DOST-SEI SCIENCE AND TECHNOLOGY


UNDERGRADUATE SCHOLARSHIPS APPLICATION FORM
FORM E3 – PRINCIPAL'S CERTIFICATION (For Applicant attending homeschool)

TO WHOM IT MAY CONCERN:

This is to certify that _________________________________________ is attending a home school


(Name of Applicant)

administered by the __________________________________________________________________


(Name of School/Address)

He/She is a graduating Grade 12 student in SY 2022-2023 and belongs to the upper 5% of the class.

_______________________________________
Printed Name & Signature of Principal

Date __________________________________

FORM E4 – PRINCIPAL'S CERTIFICATION (For Applicant under ALS)

TO WHOM IT MAY CONCERN:

This is to certify that ___________________________________________________________ has


(Name of Applicant)

completed/completing high school from _________________________________________________ in


(Name of School/Address)

SY ____________ under the Alternative Learning System (ALS) program.

_______________________________________
Printed Name & Signature of Principal

Date __________________________________

Page 2 of 3
Republic of the Philippines
Department of Science and Technology
SCIENCE EDUCATION INSTITUTE

2023 DOST-SEI SCIENCE AND TECHNOLOGY


UNDERGRADUATE SCHOLARSHIPS APPLICATION FORM
FORM E5–PRINCIPAL'S CERTIFICATION (For Applicant w ho graduated high school before K-12)

TO WHOM IT MAY CONCERN:

This is to certify that ________________________________________________ has graduated in


(Name of Applicant)

high school from ________________________________________________________________ in


(Name of School/Address)

SY ____________ and belongs to the upper 5% of the graduated class.

_______________________________________
Printed Name & Signature of Principal

Date __________________________________

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