Credential Request Form
INSTRUCTIONS:
1. Please FILL-OUT all information given in this form accurately and completely. INCOMPLETE INFORMATION will not be processed.
2. Follow-up your request at registrar@dualtech.org.ph.
3. Claim requested documents two (2) weeks after date of filing.
4. For DIPLOMA: It is given only once. You may request here if you haven't claimed it yet. In case of loss, please file an affidavit of loss first before applying for a new one or a replacement.
As required by the Data Privacy Act of 2012, you consent that we may use your personal data to administer our relationship with you, including to respond to your inquiries. *
Required
Lastname, Firstname, Middle Name *
Apelyido, Pangalan, Apelyido ng Nanay
Your answer
Address *
Saan Nakatira
Your answer
Date of Birth
Kailan pinanganak
MM
/
DD
/
YYYY
Place of Birth
Saan pinanganak (lugar o probinsya)
Your answer
Contact Number *
Cellphone or Landline
Your answer
Email Address
Your answer
Course
Choose from below:
Section, Year
Example: C100, M101, A3, IT1, TD1 + 1998-2000
Your answer
Did you graduate?
Nakatapos ba?
Date Admitted (As BSTP)
Best guess
MM
/
DD
/
YYYY
Last School Attended
Huling paaralang pinasukan?
Your answer
Document Being Requested
Choose from below
Our Policy
Our policy is not to give, sell or otherwise distribute personal data we collect to third parties outside of Dualtech Training Center, except where required with your express consent or where this is necessary and in accordance with applicable law.
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