CAP COLLEGE FOUNDATION, INC.

The Distance Learning Alternative System

REQUEST FOR SCHOOL CREDENTIALS

Check the credentials being requested:

Check the purpose for which the requested credentials are intended:
/ / For transfer to another school / / Application for Scholarship Grant
/ / For Employment / / Others, specify __________________________________________________

Check the preferred mode of delivery: / / For pick-up / / For mailing / / Via Post Office / / For Express Mail

Note: __________________________________________
To be filed up by the student who cannot secure personally the credentials.
This is to authorize _________________________________________
Student’s Signature over Printed Name
Mailing Address: ___________________
Whose signature appears below to secure the above credential(s) on
my behalf. _________________________________
Student’s Signature_________________________________________
_________________________________
Representative’s Signature ___________________________________ Tel. No. ___________________________
Date Requested : ___________________________________________ Email Address: _____________________
_______________________________________________________________
(To be filled by by CAP College)
(The credentials shall be released from the Head Office within two weeks upon student’s compliance with the requirements below)
Status/Remarks Authorized
Staff’s Signature
1. Filing of the duly accomplished request _______________ ____________
2. No Financial/Property Accountability _______________ ____________
3. Payment of Service Charges
Transfer Credential Php 300 _______________ ____________
Transcript of Records Php 300 _______________ ____________
Certification Php 150 _______________ ____________
4. Payment for Registered Mail (if to be mailed)
Within the country: Via Post Office Php _______ _______________ ____________
Via Express Mail Php______ _______________ ____________
Outside the country (the rate depends on the
Port or destination)
5. With complete records receive from previous school _______________ ____________
6. Duly signed authorization portion if the credentials
Will be secured by a representative _______________ ____________
Approved for Release: Target Date Received by:
of Release
_________________ ______ _______________________ ________________ ____________
Registrar Date Signature Date
__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _
The portion below will be filled up by CAP College if the credentials will be released at the CAP IFPC/Detouched Office.

To: ____________________________________
This is to authorize you to release the attached credential(s) of ________________________________________
Upon presentation of the duly signed Advice Slip. Please advice the student/representative to sign the “RECEIVED”
portion above and return this form together with the surrendered Advice Slip to CAP College within a week after the
release.
Thank you.
______________________________ _______________
Registrar Date
After accomplishing the Advise Slip below, cut and issue this portion to the student representative - - - - - - - - - - - - - - - - - - - - -
ADVIC E SLIP
(This portion will be accomplished and issued only, if all the requirements above are complied with)
To: _________________________________________
Please present this slip together with your identification card when claiming the request document of
______________________________ at our office in _______________________________________________
on _______________________________. (Note: Before proceeding to our office specified above, please call up
first our contact person __________________ at tel. No. 812-69-23)

____________________ ______
Registrar Date