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 Coast Guardsman Course - Enlistment

Last Name Given Name Middle Name

PERSONAL

Permanent Address Region

Birth Date Birth Place Religion Zip Code

Contact Number (Cellphone /

Landline) Sex Age Civil Status Height Weight

Father's Name Age Occupation Living/Deceased

FAMILY

Mother's Name Age Occupation Living/Deceased

Parent's Mailing Address Contact Number

Inclusive Years Honors/Awards General

EDUCATION

Level Name of School Received Average

From To
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

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Examination Permit

___________________________________________________________
(Last Name) (First Name) (Middle Name) 2x2
Picture
__________________________________ ____________________
(Place of Exam) (Date of Exam)
Initial Requirements: Important Reminders:
1. Transcript of Records/List of Grades authenticated by School (Xerox) 1. Examinees must bring examination permit,
2. College Diploma / Certificate from School (Xerox) black ballpen & pencil on examination proper.
3. Birth Certificate (Xerox) 2. Applicants must always wear jeans, white t-shirt
4. 2x2 Picture (2 pcs) tucked-in, rubbershoes and in proper haircut.
Note: 3. Calculators & cellphones are not allowed during
 No requirements / Incomplete requirements – NO EXAM exam.