National Defense University Authorization to Release Education Records Name of Student:            Suffix: (Prefix -Mr./Ms/Dr.)  (First Name)(Middle Initial)(Last Name) (Jr. Sr.) Branch of Service (Please Check One): US Army US Air Force US Marines US Navy US Coast Guard   Civilian International Officer College: Class Year: By signing this statement and enrolling in a course at the National Defense University, I acknowledge and agree that my education records, including copies of my transcripts and student evaluations, may be disclosed to my sending agency/branch of service for inclusion in official personnel records. No further release is authorized without my expressed written consent. Signature Date This release will remain in effect until I rescind in writing to NDU. PRIVACY ACT STATEMENT AUTHORITY: 10 U.S.C. § 153; 5 U.S.C. § 301 PRINCIPAL PURPOSE: The purpose is to enable individuals to provide the necessary information to the National Defense University for enrollment in a specific college, course or program and for the administrative processing associated with the efficiency of the National Defense University. The information will become a permanent record of the National Defense University. ROUTINE USES: Data will be used to compile student databases, class placements, statistical data and for other routine administrative purposes.