AUTHORIZATION TO RELEASE RECORD/S

This is to authorize _ to release my scholastic/employment records

and/or verify the authenticity of my school/work documents in connection with my application
for employment.

This is also authorize DEVELOPMENT BANK OF THE PHILIPPINES (DBP), through its
representative to obtain my scholastic/employment records and/or verify the authenticity of my
school/company documents from __.

Finally, this is to waive the privacy of scholastic/employment records and hold ,

its Registrar/Human Resource Officer and school/company officials, free from any liabilities or
damages in connection with the release of scholastic/employment records and/or verification of
the authenticity of my school/company documents.

_________________________
Signature over printed name
(Applicant)

_______________________
Date