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PNC Aa Fo 51 Academic Credentials Authorization Form 20230322135515

This document is an Academic Credentials Authorization Form from the University of Cabuyao in the Philippines. It authorizes the bearer, who is identified as the requestor's relation, to request and receive academic documents from the University Registrar. It also waives privacy of academic records and holds the university harmless for releasing documents to entities for employment or verification. The requestor and authorized representative must sign and present valid identification.

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770 views1 page

PNC Aa Fo 51 Academic Credentials Authorization Form 20230322135515

This document is an Academic Credentials Authorization Form from the University of Cabuyao in the Philippines. It authorizes the bearer, who is identified as the requestor's relation, to request and receive academic documents from the University Registrar. It also waives privacy of academic records and holds the university harmless for releasing documents to entities for employment or verification. The requestor and authorized representative must sign and present valid identification.

Uploaded by

gb270
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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PNC:AA-FO-51 rev.

0 03272023

Republic of the Philippines


Pamantasan ng Cabuyao
(University of Cabuyao)
Academic Affairs Division
Office of the University Registrar
Katapatan Mutual Homes, Brgy. Banay-banay, City of Cabuyao, Laguna 4025

ACADEMIC CREDENTIALS AUTHORIZATION FORM

THIS IS TO AUTHORIZE the bearer, _____________________________________________,


who is my __________________ and whose signature appears below to request for and/or
received documents (________________________________] issued by the Registrar’s
Department of Pamantasan ng Cabuyao.

THIS IS TO WAIVE the privacy of academic records and hold Pamantasan ng Cabuyao, its
Registrar and school officials, free from any liabilities or damages in connection with the release
of documents requested by companies and other entities for employment and verification
purposes.

Requesting Party: Authorized Representative:

Signature over printed name/Date Signature over printed name

Valid ID presented __________________ 2 Valid IDs presented __________________

----------------------------------------------------------------------------------------------------------------------
PNC:AA-FO-51 rev.0 03272023

Republic of the Philippines


Pamantasan ng Cabuyao
(University of Cabuyao)
Academic Affairs Division
Office of the University Registrar
Karapatan Subd. Brgy. Banay-banay, City of Cabuyao, Laguna

ACADEMIC CREDENTIALS AUTHORIZATION FORM

THIS IS TO AUTHORIZE the bearer, _____________________________________________,


who is my __________________ and whose signature appears below to request for and/or
received documents (________________________________] issued by the Registrar’s
Department of Pamantasan ng Cabuyao.

THIS IS TO WAIVE the privacy of academic records and hold Pamantasan ng Cabuyao, its
Registrar and school officials, free from any liabilities or damages in connection with the release
of documents requested by companies and other entities for employment and verification
purposes.

Requesting Party: Authorized Representative:

Signature over printed name/Date Signature over printed name

Valid ID presented __________________ 2 Valid IDs presented __________________

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