UNDERGRADUATE / UNITS EARNED
AUTHENTICATION FORM

Requirements:

1. LETTER OF CONFIRMATION from the School Registrar

2. TRANSCRIPT OF RECORDS – (Two (2) Xerox copies duly certified by the School Registrar and bears the Official School Seal)
3. CERTIFICATE OF ENROLMENT - specifying the semesters enrolled and the total number of units earned (Two (2) Xerox copies duly certified by the School Registrar and bears the Official School Seal)

4. Two (2) pieces 2 x 2 colored picture in white background, with nametag (the nametag should bear the name appearing in the credentials/documents)

5. Authorization letter and Xerox copy of representative’s valid Identification Card – in the absence of the applicant.

6. Application Fee Php. 40.00

FILL OUT THIS FORM COMPLETELY

1. Name of Applicant (appearing in the credentials) __________________________

2. Permanent Address ________________________________________________

3. School graduated & Address __________________________________________

4. Course (including MAJOR) ___________________________________________

5. Specific Date of Attendance FROM : ________Sem./Tri.: SY.__________________

       F.   Official Receipt No.: ___________________ Date issued _________________

________________________

      Applicant’s Signature