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Ptu, Jalandhar India: Academic Records Request Form

This document is an academic records request form that facilitates the release of an applicant's academic records from their institution to World Education Services (WES). The applicant must complete the top section providing their name, date of birth, institution attended, degree/major, student ID and signature authorizing the release. The authorized official at the applicant's institution then completes the bottom section verifying the applicant's information, attaches the academic records, and seals the envelope for delivery to WES.

Uploaded by

ajay
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
35 views

Ptu, Jalandhar India: Academic Records Request Form

This document is an academic records request form that facilitates the release of an applicant's academic records from their institution to World Education Services (WES). The applicant must complete the top section providing their name, date of birth, institution attended, degree/major, student ID and signature authorizing the release. The authorized official at the applicant's institution then completes the bottom section verifying the applicant's information, attaches the academic records, and seals the envelope for delivery to WES.

Uploaded by

ajay
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Academic Records Request Form

A. For Applicants: This form is provided to facilitate the release of your academic records by your academic institution.
You are responsible for contacting your academic institution directly.
1)
2)
3)

Complete the top part of this form. You must include your WES reference number.
Submit this form to the registrar/controller of examinations or other authorized official where you obtained your credential(s).
Print additional copies of this form as necessary.

WES Reference No. (required)

2818949

Last/Family Name

LAMBA
Previous Name (if applicable)

First/Given Name

AJAY
Date of Birth (dd/mm/yyyy)

08/03/1980
Institution Name

PTU, JALANDHAR
Degree Name (if applicable)

B-TECH

Country

E-mail

forajaylamba@gmail.com
Dates Attended

INDIA
Year of Award (if applicable)

08/1998
04/2002
From_____________________
To ____________________
(mm/yyyy)
(mm/yyyy)
Major

2002

CIVIL ENGINEERING

Student ID or Roll Number at sending institution (if applicable)

9800153
I hereby authorize the release of my academic records to World Education Services.
Applicants signature: _____________________________________________________

Date: _____________________

B. For Authorized Officials: The person named above requests that their academic records be released to World Education
Services. His or her records/statement of marks should show all subjects completed and all grades/marks awarded for all years of
study.
1) Please complete this form.
2) Place this form and academic record(s) in an envelope.
3) Sign and seal the envelope across the back flap.

Institution Name:

Degree obtained: (if applicable)

Date awarded: (month/yr)

Name of Official Completing Form: (please print or type)

Title:

Telephone:

Email:

Authorized signature and seal: _________________________________________________

Date: ________________________

Yes. The applicants academic records are attached to this form.


Please send this form and academic records directly to WES at the address below:

2818949
WES Reference No.____________________
World Education Services
Attention: Documentation Center
2 Carlton Street, Suite 1400
Toronto, ON M5B 1J3
Canada

3/2015

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