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Educational Benefit (Change of Course)
PVAO application form for change of course/school
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Revised EB Processing Form 4, s’2013
Republic of the Philippines
Department of National Defense
PHILIPPINE VETERANS AFFAIRS OFFICE
Veterans Compound
Camp Aguinaldo, Quezon City
Name of Veteran ___________________________________________ Claim No
Name of Widow ___________________________________________ Date Filed
Name of Waivee ___________________________________________ Date Approved
Organization ______________________________________________ Date Waived
Military Status ____________________________________________ Waiver Approved
APPLICATION FOR CHANGE OF COURSE/SCHOOL
COURSE APPROVED _____________________________________ City Address
SCHOOL ________________________________________________ Prov’l Address
SIR:
I
have
the
honor
to
request
permission
for
change
of
course/school
____________________________________ to ________________________________________
Course/School
Course/School
from
My enjoyments under the Educational Benefits are as follows:
Sem/Sum/Qtr/Tri
School Year
Course
School
Student
Attached herewith are my official scholastics records, copy of my latest renewal permit and other
supporting papers for the periods above enumerated.
I intend to use this change of course/school effective _____________________ sem/tri/qrt/sum and hereby
certify that the foregoing facts are true and correct.
Very respectfully yours,
(PRINT NAME & SIGNATURES)
SCC Number ________________
FOR CLAIM EXAMINER ONLY
Date _______________________________
ACTION TAKEN:
Period of Entitlement _____________________ Months
Period used to date _______________________ Months
Period available _________________________ Months
With/without extension
Percentage of Creditable Units ______________
PROCESSED BY:
______________________
_____________ ____
_______________
NAME
POSITION
DATE
RECOMMENDATION:
APPROVAL/DISAPPROVAL
_________________________________
_______________
DATE
Received by: _______________
Date Rec’d: ________________
