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5-3258.3. Official Transcript Form

This document is an application form for students at North South University to request official transcripts. It collects information from the student such as name, ID number, program and major, and contact details. It also has sections for the student signature, clearance from accounts and library, and a note about transcript fees and document destruction after three months if not collected.

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saikat paul
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20 views

5-3258.3. Official Transcript Form

This document is an application form for students at North South University to request official transcripts. It collects information from the student such as name, ID number, program and major, and contact details. It also has sections for the student signature, clearance from accounts and library, and a note about transcript fees and document destruction after three months if not collected.

Uploaded by

saikat paul
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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COE Form-3

North South University


Application Form for Official Transcript
To
The Controller of Examinations
North South University
Sir,
Please issue my Official Transcript as follows:
a. One copy/……….... copies addressed to myself.
b. One copy/………… copies against the following address or addresses shown in the attached paper
(Please write in CAPITAL letter).
______________________________________________________________
______________________________________________________________
Name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ID#_ _ _ _ _ _ _ _ _ _ _ _ _ Date of birth: _ _ _ _ _ _ _ _ _ _
(Please Write in CAPITAL letter)

Program: _ _ _ _ _ _ _ _ _ _ _ _ Major-1:_ _ _ _ _ _ _ _ _ _ _ Major-2_ _ _ _ _ _ _ _ Minor: _ _ _ _ _ _ _ _ _ _

Cell No: _ _ _ _ _ _ _ _ _ _ _ _ e-mail: _ _ _ _ _ _ _ _ _ _ _ Signature of the Student with date: _ _ _ _ _ _ _ _ _

(Transcript fee Tk.300/- per copy)

For clearance of NSU Accounts For Library clearance


Signature with date & Seal: Signature with date & Seal:

FOR OFFICE USE ONLY:


Signature of the receiving Officer with date: _ _ _ _ _ _ _ _ _ _ _ _ _ Please collect the document on: _ _ _ _ _ _ _ _ _ _ _

Student’s Part for “Official Transcript” (to be filled by student):

Name of the Student: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Office Seal

ID# _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

__________________________
Signature of the Student with date
N. B. 1. Please enclose photocopy of your SSC/ ‘O’ level/ Equivalent Certificate and pay Tk.300/- for each copy at Bank [United
Commercial Bank Limited (UCB), Bashundhara Branch, Dhaka (beside GP House)]. 2. NSU Accounts & Library clearance
is not required for the graduates.
*The requested document will be destroyed if the applicant does not receive it within three months from the date of delivery.
Official Transcript

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