Request For Academic Transcript Form
Request For Academic Transcript Form
Email: [email protected]
Post: Academic Records
Level 6, Jane Foss Russell Building - G02
The University of Sydney NSW 2006
ABN 15 211 513 464
Student Name:
Student ID Number:
1st Copy $15.00 + Additional Copy $5.00 + Extra Copies ($10.00 each) $ + Postage $ = Total $
Please debit my credit card using the details below: Mastercard Visa
Expiry Date: /
Page 1 Receipt #:
Counter Staff
OFFICE USE ONLY Receipt #:
Name:
Total: ExPost #:
Date:
Posted: Name:
Personal details
Email address:
Enrolment details
Please select where you attended: University of Sydney Sydney Teachers College
Guild Teachers College Sydney College of the Arts Sydney Conservatorium of Music
Institute of Nursing Orange Campus (prior to 2005) Sydney College of Advanced Education
Years of enrolment:
Request details
Please indicate the number of documents you require: Cost: $15.00 one document, $20.00 two documents, then $10.00 each
Please hold my request until after results are released for: Semester 1 Semester 2 Summer/Winter school
Please hold my request until after the transcript shows I have completed the requirements for my degree
Delivery details
Please state as above if same as Home address. Documents will be posted by standard mail unless otherwise specified. If you
have more than one delivery address, please attach an additional sheet with clear instructions*
*postage charges apply for more than two delivery addresses see page 1
Authorisation You must include a photocopy of your specimen signature eg. Drivers license or passport (see page 1)
Your request will not be processed without this.
Privacy: The information you provide on this form will not be used for any other purpose than to provide you with an official academic
transcript or certificate of graduate status, nor will it be disclosed except with your consent or if required or authorised by law. You
have the right to access and correct information about yourself held by the University. Please contact us for more information.
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