Form 4 - Transcript Request - Asian Institute Of Technology printable pdf download

For Institute use only

Application No. _____________

Form 4: Transcript Request

This part is to

Mr./Mrs./Miss

be completed

_____________________________________________________________________

by applicant.

First

Middle

Last

Please tick the order in which you want your name to appear on all AIT documents:

[ ] First, Middle, Last

[ ] Last, Middle, First

Birthdate

(Day/Month/Year) __________________________________________________________

School/Faculty

___________________________________________________________________

Date of Enrolment

Degree Obtained

_____________________________

_________________

Date of Graduation

Major

_____________________________

____________________________

I authorize the release of my academic transcript to the Asian Institute of Technology.

________________________________

_________________________________

Signature

Date

To the Registrar/Equivalent College/University Official:

This part is to be

completed by the

The above-named person is applying for admission to the Asian Institute of Technology. Our

Registrar/

admission procedure requires the applicant to submit a complete set of transcripts (and other relevant

Equivalent

documents) together with his/her Application for Admission Form.

College/University

Please complete this Transcript Request Form. If you need to explain your institution's grading policy,

Official.

please do so on a separate sheet of paper. For additional comments, you may write on the back of

this form.

Place the completed Transcript Request Form and your statement (if any) in one envelope together

with the applicant's transcript. Seal the envelope and sign along the flap. Give the sealed envelope to

the applicant. He/she will then forward it to the Institute, unopened. If your institution's policy prohibits

release of transcripts directly to students, please forward the transcript to the address shown below.

To further assist AIT in evaluating the applicant's record, please provide the following information, if

available:

Applicant's Cumulative GPA/GPF

Final Year GPA/GPF

_____________

_______________

Class Rank

Total Class Size

__________________________________

__________________

Registrar or Equivalent College/University Official completing this Transcript Request Form

Name ___________________________________

Position __________________________

Signature ________________________________

Date _____________________________

Institute/University seal

If you need to mail, please address to:

Postal Address:

Street Address:

Admissions and Scholarships Unit

Asian Institute of Technology

P.O. Box 4, Klong Luang

58 Moo 9, Km. 42, Paholyothin Highway

Pathumthani 12120, THAILAND

Klong Luang, Pathumthani 12120, THAILAND

E-maill: admissions@ait.ac.th

Form 4 - Transcript Request - Asian Institute Of Technology

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