CENTRAL TRANSCRIPT OFFICE

REQUEST FOR TRANSCRIPT Date Received

Note: $24.00 for one copy, and $5.00 for each additional transcript
Attach a copy of your government issued signed photo ID

Due to the closure of schools and administration buildings, we are not open for public access

Email Address: Fax Number

416-396-6713
[email protected] Please read E-mail
[email protected]
TDSB Student Number (optional): When faxing/emailing your application, please
remember to:
A APPLICANT INFORMATION 1. Sign the request form
2. Sign for the VISA/MasterCard payment
3. Include a copy of your government issued
Last Name First Name signed photo ID

Williams Kyro Gender DOB (yy, Month, dd)

Last Name or Family Name (while in school) Other Names Used: M F
Williams 2005, 11, 27
Last Secondary School Attended Last Grade Completed Year of Graduation / Retirement
École secondaire catholique Sainte-Famille 12 2023
Current Home Address City Prov/Country Postal Code. Telephone No.
Apt# Home 416-828-7370
1 Hesketh Court Caledon Ontario L7C 1C7 Business

Reason for Request

Post Secondary Re-Entry Employment ✔ Other (Please specify:) TVO ILC Application
No. of Transcripts Required: 1 Fee: 24$ University or College Reference No.
(if applicable)
$24 for one copy and $5 for each additional
B DISTRIBUTION INFORMATION (If you select email or employment letter option, you will not receive an official transcript)
EMAIL (to post-secondary institutions ONLY) MAIL (one to home address above and/or to the following)

Email Address:________________________________ Address: ______________________________________________________

______________________________________________________
✔ PROOF OF GRADUATION LETTER (ONLY)
______________________________________________________
✔ [email protected]
Email Address:________________________________
Embossed Sealed Envelope

APPLICANTS SIGNATURE:

VISA or MasterCard Payment

Card Holders Name: Kyro Williams Card Holders Signature:
Card Type: Mastercard Card Number: 5599 9444 5937 1998 CSC # 670 Expiry Date: 12/27 (mm/yy)

C FOR OFFICE USE ONLY (To be completed by office personnel.)

This form should be returned with only sections A and B, completed.
Fee Rendered: $ Date: based.kyro@g
[email protected]

____________________________________ ____________________________________ ____________________________________

Signature of Office Staff Completed Other notes(card approval, etc.)
(Check areas searched.)

Source of Information for Transcript:

Trillium Report Generator Film Fiche ✔ Digital OSR School
COLLECTION NOTICE FOR TRANSCRIPTS INTAKE-PERMISSION FORM
The personal information you have provided is collected under the authority of sections 58.5(1) and 265(d) of the Education Act, R.S.O. 1990, c.E2, as amended. The information will be used
as necessary for the retrieval of your record and the processing of your request as well as for statistical and administrative uses related to transcript services. For further information,
please contact the Central Transcript Office at 416-396-4783. Please email the completed form along with a copy of your government issued signed photo ID to the Central
Transcript Office at [email protected]. Please be aware that the fee for a search of Student Transcript information is non-refundable.

A08(transcriptform)kg3414 Rev.27-May-2020