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Educational Benefit (Automatic extension under PVAO)

PVAO application form for automatic extension

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 AUTOMATIC EXTENSION UNDER PVAO
(D.O. No A-049, Sec. 24-A, s’90)

COURSE APPROVED ______________________________________City Address
SCHOOL _________________________________________________Prov’l Address
The Administrator
Philippine Veterans Affairs Office
Quezon City
SIR:
I have the honor to request for automatic extension of ________ months which I intent to enjoy
for ______ semester/Trimester/Summer/Quarter, 20____, 20____.
My enjoyments under the Educational Benefits are as follows:
Sem/Sum/Qtr/Tri

School Year

Course

School

Student

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 under D.O. No. A-049, Sec. 24-A, s’90
PROCESSED BY:

______________________

_____________ ____

_______________

NAME

POSITION

DATE

RECOMMENDATION: APPROVAL/DISAPPROVAL for
______________________________ 20______ - 20______.

automatic

extension

_________________________________

of

______________

_______________
DATE

months

for
 
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