Records Request Form printable pdf download

Records Request Form

Office of the Secretary of the University

University of the Philippines System

Records Section

Record Request No.

________________

RECORDS REQUEST FORM

Please fill out this form completely with as much details as possible to help us identify specifically

the records you are requesting. The records section staff is available to assist you in identifying the

records you need.

The records Section may need some time to locate and review documents that are responsive to your

request.

REQUESTER INFORMATION

Name:____________________________________________________ Date:__________________

Campus:__________________________________________________ Unit:__________________

Contact Number:___________________________________________ Email:_________________

REQUESTED RECORDS/DOCOUMENTS

PURPOSE:

_____________________________________________

_____________________________

_____________________________________________

_____________________________

_____________________________________________

_____________________________

RELEASED BY

Releasing Staff:_____________________________________________ Date:__________________

Received by:_______________________________________________ Date:__________________

Records Request Form