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    ACAD 0305 BKPDF

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    This document is an application form for an academic record from the University of Technology, Sydney. It requests personal details from the student and delivery instructions. The student can choose between collecting their academic record in person, having it mailed to their address, or to another institution. They select the number of copies and whether they want express mailing. The student then specifies which courses and what information (marks and grades or just grades) should be included on the transcript. There is an option to defer the application until current semester results are available. Payment and credit card information is also requested.

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    Download as PDF, TXT or read online from Scribd

    ACAD 0305 BKPDF

    Uploaded by

    vipdik13
    51 views2 pages
    This document is an application form for an academic record from the University of Technology, Sydney. It requests personal details from the student and delivery instructions. The student can choose between collecting their academic record in person, having it mailed to their address, or to another institution. They select the number of copies and whether they want express mailing. The student then specifies which courses and what information (marks and grades or just grades) should be included on the transcript. There is an option to defer the application until current semester results are available. Payment and credit card information is also requested.

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    ACAD 0305 Bkpdf

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    This document is an application form for an academic record from the University of Technology, Sydney. It requests personal details from the student and delivery instructions. The student can choose between collecting their academic record in person, having it mailed to their address, or to another institution. They select the number of copies and whether they want express mailing. The student then specifies which courses and what information (marks and grades or just grades) should be included on the transcript. There is an option to defer the application until current semester results are available. Payment and credit card information is also requested.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    51 views2 pages

    ACAD 0305 BKPDF

    Uploaded by

    vipdik13
    This document is an application form for an academic record from the University of Technology, Sydney. It requests personal details from the student and delivery instructions. The student can choose between collecting their academic record in person, having it mailed to their address, or to another institution. They select the number of copies and whether they want express mailing. The student then specifies which courses and what information (marks and grades or just grades) should be included on the transcript. There is an option to defer the application until current semester results are available. Payment and credit card information is also requested.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 2

    APPLIC ATION F OR A C ADEMIC RECORD APPLICA FOR AC

    Please read the General Information & Instructions on Page 2 before filling out the form. Please allow 3 working days for processing. PERSONAL DETAILS DELIVERY INSTRUCTIONS

    Student No. Date of Birth Family Name Given Names Address


    Suburb/ To w n : State:

    a . I would like my Academic Record to be:


    Available for collection from the Student Info & oadway Admin Centre - Br Broadway oadway. Available for collection from the Student Info & Admin Centre - Kuring-gai Kuring-gai. Posted to my address indicated on this form. Posted to the education institution below:
    Attention To : Institution: Address:
    Postcode:

    Phone No(s)

    Home:

    Work / Mobile:

    How many copies would you like?


    1 Copy ($20) 3 Copies ($25) 9 Copies ($40)

    Email

    6 Copies ($30)

    COURSE DETAILS

    b. Would like your transcript to be posted by express mail?


    Local express post ($5 additional cost)

    a . Please tick one of the following:


    anscript of ALL ALL I would like a full tr transcript ALL my records.

    International express post ($15 additional cost) DECLARATION


    I declare that the details supplied on this form are mine, and that the information provided by me is complete and correct. Signature:
    Date:

    OR

    I would like a transcript only for the course listed below:


    Course Code Course Name

    eg. C10154

    eg. B.Sc. (Mathematics)

    b . Academic Records are normally issued displaying marks


    and grades. Do you want both your marks and grades to ? Please note, not all courses award marks. be displayed? YES
    - please display marks and grades

    STUDENT ADMIN UNIT USE ONLY

    NO

    - please display grades only

    Received by: ....................................

    c . Do you want this application to be deferred until your


    current semester results are available available? YES NO
    Note: indicating NO means that your transcript will not include the current semester results.
    Processed by:....................................
    Date Stamp

    d . If you have selected YES in Section C, please indicate

    the last semester results you would like to be included on your transcript (eg. Summer 2003)
    Date sent: .........../.........../...........
    Processed Stamp

    Version 11 March 2005

    Form Type: 30

    Page 1 of 2

    APPLIC ATION F OR A C ADEMIC RECORD APPLICA AC

    WHA T IS AN A CADEMIC RECORD WHAT AC An Academic Record is an official record of your study at UTS and as such it is an important document. If you apply for further study at another institution you will be required to submit a copy. You may also be required to submit a copy if you need to apply for registration with a particular professional body or when applying for positions. An Academic Record includes: a complete listing of all subjects and subject numbers, the grades awarded for each subject the marks awarded for each subject, if requested credit points achieved for subjects studied from 1993 onwards a completed status, if you have already graduated from your course course(s) studied at UTS and institutions which amalgamated to form UTS - ie: ITATE Kuring-gai Collge of Advanced Education New South Wales Institute of Technology Sydney College of the Arts Design School William Balmain Teachers College PLEASE ALLOW THREE WORKING DAYS FOR PROCESSING LODGING THIS FORM In Person Take the completed form and pay the relevant amount to the: Student Info & Admin Centre Ground Floor, Tower Building No. 1 Broadway BROADWAY By Mail

    OR

    Student Info & Admin Centre Level 6, Main Building Eton Rd. LINDFIELD

    Attach a cheque or money order made payable to the University of Technology, Sydney to the completed form or complete the section below for credit card payment and post it to: Student Info & Admin Centre University of Technology, Sydney PO Box 123 BROADWAY NSW 2007

    OR

    Student Info & Admin Centre University of Technology, Sydney PO Box 222 LINDFIELD NSW 2070

    By Fax

    (02) 9514 1200

    (City Campus)

    NOTE: Please do not send duplicate fax copies

    Please check that you have completed all sections, signed and dated this form.

    CREDIT CARD PAYMENT DETAILS Please debit my credit card account using the details as shown below: Bankcard Credit Card Number Expiry Date Mastercard Visacard

    Tot al amount $ otal

    .00

    Account Name:

    Signature:

    Date:

    Version 11 March 2005

    Form Type: 30

    Page 2 of 2

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