Transcript Request Form
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1Transcript Request Form
Registrar’s Office
62 York Street
Sackville, NB E4L 1E2 CANADA
Phone: (506) 364-2269
Fax: (506) 364-2272
E-mail: regoffice@mta.ca
Last Name
First /Preferred Name
Middle Name
Former/Maiden Name (if applicable)
Phone Number
E-mail Address
Student ID #
Years of Attendance/Year of Graduation
(
)
Please complete a separate form for each mailing address.
1. Transcripts will not be issued until all past due financial obligations to the university have been cleared.
2. Transcripts are issued only upon the written request of the student. Third party requests will not be accepted.
3. Transcript Processing Fee must be submitted with the request. Requests can be submitted via mail, fax, or e-mail.
4. Basic Fee: $10.00 per transcript (includes regular mailing)
5. Fax Service: Basic Fee $10.00 (No. 4 above) and additional $5.00 Fax Service per transcript
(faxed transcripts are
unofficial and are generally not accepted by other academic institutions)
6. International Fax Service: Basic Fee $10.00 (No. 4 above) and additional $10.00 International Fax Service per
transcript.
7. Rush/Priority Processing (Internal Office Priority Processing): Basic Fee $10.00 (No. 4 above) and
additional $10.00 per request. Note: This service may not be available for the first two or last two weeks
of each term.
8. Courier Service: Basic Fee $10.00 (No. 4 above) and additional $10.00 per request (within Canada only), an
additional $25.00 per request within North America, an additional $35.00 per request worldwide.
Recipient’s phone # and complete street address required below.
Number of Copies Requested: _______________
Request Processed:
As Soon as Possible
After Fall Term Grades
After Degree Conferred
(recorded on transcript after
After Winter Term Grades
After Spring Term Grades
graduation - this option for
current prospective grads)
Delivery Method:
Picked up
Mailed to address below
Faxed to number below
Rush/Priority Processing
Courier (See note 8 above)
Credit Card Information (VISA or MasterCard only):
Name on Card ____________________Credit Card # ____________________ Expiry Date _____________
FOR OFFICE USE ONLY
Transcript recipient name and mailing address, or fax
number, or courier information (recipient’s phone #
Basic Fee
$10.00
and street address): Please print.
Fax Service
$5.00
________________________________________
International Fax Service
$10.00
_________________________________________
Rush/Priority Processing
$10.00
_________________________________________
Courier Service
$10/$25/$35
________________________________________
________________________________________
Staff Initials
TOTAL
________________________________________
________________________________________
Method of Payment: Cheque
Cash
Credit Card
Debit Card
Student Signature (required) ________________________________ Date _________________________
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