Transcript request form nua

Page 1

Norwich University of the Arts Vice-Chancellor: Professor John Last

TRANSCRIPT REQUEST THIS SECTION TO BE COMPLETED BY STUDENT 1. Family Name

2. First and other names (in full)

3. Date of birth

4. Contact telephone number/email address

5. Address for correspondence

6. Course title

7. Year course commenced

8. Year course ended (if applicable)

9. Result received (if applicable)

10. How would you like to receive the transcript? Post to correspondence address above Post to a different address (please complete below) Collect from Academic Registry, Room 5, Francis House (you will be required to show identification on collection) 11. Address for transcript to be posted to (if different from correspondence address)

12. I consent to the release of information for the purposes of processing this application and in accordance with Norwich University of the Arts notification under the 1998 Data Protection Act NB We will accept a typed or electronic signature only if you email this form to us from your University email account. If you are submitting this form as hard copy, please sign in pen in the space below. Signature:

Date

WHEN COMPLETED PLEASE SEND THIS FORM TO THE ADDRESS BELOW OR POST IN THE BOX IN THE ACADEMIC REGISTRY CORRIDOR: Academic Registry Norwich University of the Arts Room 5, Francis House 3-5 Redwell Street Norwich NR2 4SN

Tel: ++ 44 (0)1603 610561 Fax: ++ 44 (0)1603 615728 Email: registry@nua.ac.uk

Your request will be processed within 10 working days of receipt of this form by the Academic Registry. If we are not able to produce a transcript for you for any reason, we will notify you within this period. Requests cannot be processed in less than 10 working days for any purpose.

Office Use Date received

AR Initial

Date transcript sent/ready for collection


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