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GNE - Form 003 Academic Transcript Request

This document is an academic transcript request form for the Postgraduate Institute of Humanities and Social Sciences at the University of Peradeniya. It collects information such as the applicant's name, address, registration number, degree program, and payment details. The applicant requests that their transcript be sent to a specific receiving institute, and provides the address and contact details. Sections are included for the relevant subject clerk and director to review and approve the request before the transcript is issued. Notes at the bottom provide instructions to applicants on transcript fees, where transcripts will be sent, and who to send the completed form to.

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NISHANTHA KARUNARATHNA
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216 views

GNE - Form 003 Academic Transcript Request

This document is an academic transcript request form for the Postgraduate Institute of Humanities and Social Sciences at the University of Peradeniya. It collects information such as the applicant's name, address, registration number, degree program, and payment details. The applicant requests that their transcript be sent to a specific receiving institute, and provides the address and contact details. Sections are included for the relevant subject clerk and director to review and approve the request before the transcript is issued. Notes at the bottom provide instructions to applicants on transcript fees, where transcripts will be sent, and who to send the completed form to.

Uploaded by

NISHANTHA KARUNARATHNA
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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PGIHS/GNE/FORM/003

POSTGRADUATE INSTITUTE OF
HUMANITIES AND SOCIAL SCIENCES (PGIHS)
University of Peradeniya
Academic Transcript Request Form
1. Name of the Applicant: Rev./Dr./Mr./Miss/Mrs.

2. Address:

3 Telephone No.:
4. email:

5. Registration No.:

6. Degree Programme followed:

7. Field of Study

8. Payment of Transcript fee: Amount:


Date:
9. Purpose of Transcript request:
10. Address of the Institute to which the
transcript be posted/ faxed/ emailed: (State
clearly address, contact and fax numbers
and email address of responsible officer)
12. Claim by the Applicant: Please post/fax/email (delete appropriately) my transcript to the
address of the receiving institute given above.
Signature of Applicant:

Date:

13. To be Completed by Relevant Subject Clerk:


Degree Programme followed by the Applicant:
Field of Study:
Date of Completion of Coursework (if relevant):
Date of Completion of Dissertation/ Thesis (if relevant):
Effective date of the Degree:
Receipt of Transcript fee: Yes / No
Any other remarks:
Signature of Subject Clerk:
Date:
14. Recommendation of Assistant Registrar/PGIHS
I recommend/ do not recommend the issue of the transcript.
Signature of AR/PGIHS:
Date:
15. Approval of Director /PGIHS
Approved / Not Approved.
Signature of Director/PGIHS:
Date:
PGIHS/GNE/FORM/003

Notes for Applicants


✓ Transcript Fee is Rs. 1000.00 if the transcript is to be sent to a local institution and Rs. 1500.00 if the
transcript is to be sent to a foreign institution.

✓ Transcripts are sent only to Universities, Ministries, Embassies or any other Recognized Institutes,
Transcripts are not issued directly to the applicant as they are of confidential.

✓ Along with Payment Voucher of Transcript fee, duly completed application form should be sent to:

Assistant Registrar,
Postgraduate Institute of Humanities & Social Sciences (PGIHS),
University of Peradeniya, 20400 Peradeniya,
Sri Lanka
Tel: (+94) 081 2068361
Fax: (+94) 081 2068362
Email: [email protected]

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