Department of Transportation and Communications PUNONGHIMPILAN TANOD BAYBAYIN NG PILIPINAS (Headquarters Philippine Coast Guard) 139 25th Street, Port Area 1018 Manila APPLICATION FORM PCG ENLISTMENT/COMMISSIONSHIP Control Nr.
Coast Guard Officer Course - Commissionship
PERSONAL
Last Name
Given Name
FAMILY
Middle Name
Permanent Address
Birth Date
Region
Birth Place
Number (Cellphone / Landline)
EDUCATION
Coast Guardsman Course - Enlistment
Sex
Religion
Zip Code
Age
Civil Status
Height
Father's Name
Age
Occupation
Living/Deceased
Mother's Name
Age
Occupation
Living/Deceased
Parent's Mailing Address
Weight
Number
Level
Inclusive Years From To
Name of School
Honors/Awards Received
General Average
High School Course:
Vocational Course:
College
I hereby certify that the above information are true and correct Applicant's Signature
Examination Date / Time
Interviewer's Signature
---------------------------------------------------------------------------------------------------------------------------------Examination Permit ___________________________________________________________ (Last Name) (First Name) (Middle Name) __________________________________ (Place of Exam) Initial Requirements: 1. Transcript of Records/List of Grades authenticated by School (Xerox) 2. College Diploma / Certificate from School (Xerox) 3. Birth Certificate (Xerox) 4. 2x2 Picture (2 pcs) Note: No requirements / Incomplete requirements – NO EXAM
____________________ (Date of Exam)
Important Reminders: 1. Examinees must bring examination permit, black ballpen & pencil on examination proper. 2. Applicants must always wear jeans, white t-shirt tucked-in, rubbershoes and in proper haircut. 3. Calculators & cellphones are not allowed during exam.
2x2 Picture