The Registrar

Name of School: _________________________

Address: _______________________________
Sir/Madam
I am (Name of the applicant), a former student of (name of the
university/college/institute) for school year______ to ______.
At present, I am an applicant for (commissionship/enlistment) in the
Philippines Coast Guard (PCG). As part of the PCGs security protocol, the PCG
personnel will conduct Background Investigation (BI), including scholastic record
check, to verify the authenticity of the documents from the university/college
that I have submitted to the said agency.
In this regard. I am executing this authorization to the bearer who is
a member of the PCG, to verify the authenticity of my scholastics records
likewise attached is the receipt of payment dated ______ that I previously
obtained from the _____________ for the authentication of the said documents.
Issued this _______ day of _______ at________
Attached are the Photocopy of my identification and the PCG ID of
the bearer for your perusal.

Respectfully yours,
Signature
(Name of the applicant)