Request For Official Transcript/diploma

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Request for Official Transcript/Diploma
High School Certification
Telephone: 1-709-729-7925
P.O. Box 8700
Fax: 1-709-729-0611
St. John’s, NL A1B 4J6
Under the authority of Section 32c of the Access to Information and Protection of Privacy Act, personal information is collected in order for processing, handling and
issuance of the appropriate official transcripts in accordance with the information supplied on this form. This information is kept confidential and handled as required by
the Access to Information and Protection of Privacy (ATIPP) Act.
Any questions or comments can be directed to Manager, High School Certification, P.O.Box 8700, St. John’s, NL, A1B 4J6 who can be reached at (709) 729-6261.
Full Legal Name: _____________________________ Student Number (MCP): _________________
Maiden Name: _________________
Date of Birth: _____________
Last Year Attended: _______
Last Grade or Level completed: ________
Last School Attended: ___________________________
Address Information
Current Phone Number: ________________ email: ______________________________________
Current Address:
___________________________________________________________________
___________________________________________________________________
Address when Last Attended School:
___________________________________________________________________
___________________________________________________________________
Requesting:
Transcript
Diploma
GED
Fax Transcript
________________________________________
1.
Attention to:
________________________________________
Fax Number: ______________________________
________________________________________
2.
Attention to:
________________________________________
Fax Number: ______________________________
If you require extra copies sent to other than the above, please supply a list
Mail Transcript/Diploma
Address:
1.
Same as Current Address Above
___________________________________________________________________
___________________________________________________________________
2.
Address:
If you require extra copies sent to other than the above, please supply a list
___________________________________________________________________
___________________________________________________________________
Pickup Transcript/Diploma:
(Photo-identification is required for pickup service.)
If requesting on the behalf of the student/former student, please specify your relationship. I am the student’s/former student’s
Parent(if the student is 19 or over in age, please attach the Consent to Disclose Personal Information form.
Guardian (Provide proof of guardianship and if the student is over 19 in age, please attach the Consent to Disclose
Personal Information form.
Student Authorization: I acknowledge the Department of Education and Earlychildhood Development, Government of
Newfoundland and Labrador has authority to collect the general information contained on this form and authorize the Department
of Education and Early Childhood Development, Government of Newfoundland and Labrador, to disclose my transcript information
to the destinations listed above in accordance the instructions I have provided. I understand that this request will be processed
only if signed by the student/former student or an authorized person, with written consent of the student/former student.
Date: ___________________________
Signature: _____________________________
Please Note: The Department of Education and Early Childhood Development does not email or Courier
Transcripts

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