International Transcript Request Form For Students Educated Outside The U.s.

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International Transcript Request Form
for Students Educated Outside the U.S.
APPLICANT
After you have submitted a CUNY Admission Application, you are required to submit a complete official transcript/mark sheet from each post-secondary institution attended.
Please complete this form and submit it to the office responsible for issuing official academic records at the colleges/universities you attended outside the U.S.
For applicants educated in Bangladesh, India or Pakistan, this request form should be sent to the Controller of Examinations .
CUNY Application Control Number
Date of Birth
Last/Family Name
First Name
MM
DD
YEAR
(as it appears on college transcript/marksheet)
(as it appears on college transcript/marksheet)
Address
Email Address
Name of Institution Attended
Student Id / Roll # at College Attended
Dates of Attendance: from
to
MM
YEAR
MM
YEAR
Program of Study
Degree/Diploma/Certificate Earned
Year Awarded
(if applicable)
I authorize the release of my records to The City University of New York.
Signature of Applicant:
Date
ISSUING INSTITUTION
The above named student is applying for admission to CUNY. We require that a copy of their complete academic record be sent directly to the University Application
Processing Center (UAPC). The record should indicate the name of each subject taken, the marks received and how each course has been weighted. Please include a
statement indicating the grading scale used. If the student was not granted any marks/credits or does not have a record on file at your institution, please send us a
statement explaining the reason. Any additional information that is relevant to the student’s academic record should also be sent.
Please fill out the information below, attach it to the academic record, place them in a sealed envelope with your institution’s stamp/seal and send it to CUNY/UAPC at the
addreses below:
Regular Mail
Overnight/Express Shipping (DHL, Fedex, etc.)
CUNY/UAPC
CUNY/UAPC
International Student Admission
International Student Admission
2001 Oriental Boulevard, T-1
P.O. Box 359023
Brooklyn, NY 11235
Brooklyn, NY 11235-9023
Name of Official Completing Form
Title
(Please Print)
Address
City
Postal Code
Country
Telephone
Fax
Email Address
from
to
The student named above attended
MM
YEAR
MM
YEAR
Name of Your Institution
Name of Degree Awarded
Date Awarded
(if applicable)
Authorized Signature and Institution Stamp/Seal
Date
04/2011

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