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1. Student Information: Basic identification details of the student including full name, student ID number, program/course, year level, and contact information
2. Records Requested: Specific identification of which records are being requested for release (e.g., transcript of records, diploma, certification of grades, etc.)
3. Purpose of Release: Clear statement of the intended use or purpose for requesting the records
4. Recipient Information: Complete details of the person or institution to whom the records will be released
5. Authorization Statement: Explicit authorization language confirming consent to release the specified records
6. Data Privacy Notice: Statement regarding data privacy rights and responsibilities under RA 10173
7. Duration of Authorization: Specification of how long the authorization remains valid
8. Signature Block: Space for student signature (or parent/guardian if minor), date, and witness signatures if required
1. Parental/Guardian Consent: Required only if the student is under 18 years old or legally incapacitated
2. Special Handling Instructions: Include when specific delivery or handling requirements are needed for the records
3. Emergency Contact: Optional section for including alternative contact information
4. Previous Institution Details: Include when records being requested involve transfer credits or previous educational institutions
5. Payment Information: Include when fees apply for record release
1. Schedule A - Types of Records Available: Detailed list of all types of student records that can be requested and associated processing times
2. Schedule B - Fee Schedule: List of applicable fees for different types of record requests and processing options
3. Appendix 1 - Identity Verification Requirements: List of acceptable identification documents and verification procedures
4. Appendix 2 - Third Party Authorization Form: Additional form required when records are to be released to someone other than the student
Education
Higher Education
K-12 Education
Technical and Vocational Education
Professional Training
Educational Administration
Records Management
Data Privacy
Academic Services
Registrar's Office
Student Services
Admissions
Records Management
Compliance
Academic Affairs
Administrative Services
Data Privacy
Legal
Documentation
Registrar
School Administrator
Data Privacy Officer
Records Manager
Admissions Officer
Academic Coordinator
Compliance Officer
Student Services Manager
Educational Administrator
School Principal
University Dean
Administrative Assistant
Documentation Specialist
Student Affairs Officer
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