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 Guards Man Course - Enlistment
Last Name Given Name Middle Name
PERSONAL
Permanent Address Region
Birthdate 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
----------------------------------------------------------------------------------------------------------------------------------
Examination Permit
___________________________________________________________
(Last Name) (First Name) (Middle Name)
__________________________________ ____________________
(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 be in casual attire and in proper
4. 2x2 Picture (2 pcs) haircut.
Note: 3. Calculator & cellphone are not allowed during
No requirements / Incomplete requirements – NO EXAM exam.