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Academic Transcript Request Form

This document is an academic transcript request form for University College Cork. It requests the student's personal details like name, student number, date of birth, and contact information. It also asks for the course(s) undertaken and number of transcript copies needed, whether a PDF copy is required, and if the transcript should be in a sealed envelope. It provides the fees for transcript copies based on the length of the program and allows the student to provide their credit card details for payment. It provides instructions to return the completed form with payment and the address for where transcripts will be posted or collected.

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asnarani
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© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
758 views

Academic Transcript Request Form

This document is an academic transcript request form for University College Cork. It requests the student's personal details like name, student number, date of birth, and contact information. It also asks for the course(s) undertaken and number of transcript copies needed, whether a PDF copy is required, and if the transcript should be in a sealed envelope. It provides the fees for transcript copies based on the length of the program and allows the student to provide their credit card details for payment. It provides instructions to return the completed form with payment and the address for where transcripts will be posted or collected.

Uploaded by

asnarani
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Student Records and Examinations Office, Logo Telephone: +353-21-4902422

First Floor, West Wing, Main Quadrangle, Fax: +353-21-4903448


University College Cork. e-mail: [email protected]
Website: http://www.ucc.ie/en/records-exams/
ACADEMIC TRANSCRIPT REQUEST FORM

Surname:_______________________________ First Name: ________________________________


(As when registered in UCC)

Student Number:___________________ Contact Telephone Number: ___________________


(If known)

Date of Birth:______________________ _______ Email : ____________________________________


(DD/MM/YYY)

Course(s) Undertaken:_________________________________________________________________
Transcript required for inside Ireland and UK: Yes No
Number of Hard Copies copies required:
PDF Copy required Yes No
Please note that a PDF copy counts as one copy. *
If yes, relevant email address ___________________________________________
Transcript required in sealed envelope : Yes No
Additional Comments _____________________________________________________________
_______________________________________________________________________________

Fee: For a programme of more than 1 year duration: 1 Copy 10; 2 Copies 15; 5 Copies 25
For a programme of 1 year duration: 1 Copy 5; 2 Copies 10; 5 Copies 20
Card Details
Card No:
Cardholder Name:___________________________________________ Exp Date:______

Please return the signed and completed form with the fee as follows:

By Post:
Student Records and Examinations Office.
Floor 1, West Wing,
U.C.C.
Postal Address(es) for Transcripts:

You can also arrange to collect your Transcript(s) and you will be notified by email when ready for collection.
Please note transcripts will be destroyed after 10 working days if not collected.
Alternatively, you can authorise a relative or friend to collect your Transcript(s)
Name of person collecting your Transcript(s) _____________________________________

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