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Transcript/Diploma Request Form

The document is a request form for official high school transcripts and diplomas from the Government of Newfoundland and Labrador. It requests personal information such as name, date of birth, student number, and contact details. The form allows the requestor to specify which documents they need and how they want them sent or emailed.
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0% found this document useful (0 votes)
55 views1 page

Transcript/Diploma Request Form

The document is a request form for official high school transcripts and diplomas from the Government of Newfoundland and Labrador. It requests personal information such as name, date of birth, student number, and contact details. The form allows the requestor to specify which documents they need and how they want them sent or emailed.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Request for Official Transcript/Diploma

High School Certification Office Telephone: 1-709-729-7925


P.O. Box 8700 Fax: 1-709-729-0611
St. John’s, NL A1B 4J6 Email: highschooltranscript@gov.nl.ca
Privacy Notice: The personal information collected on this form is collected under the authority of subsection 61(c) of the Access to Information and Protection of
Privacy Act, 2015 (ATIPPA, 2015) and is used for processing, handling and issuance of the appropriate official transcripts in accordance with the information
supplied on this form. Personal information collected on this form is protected by ATIPPA, 2015. If you have any questions about the collection or use of this
information, please contact the Information Management Division of the Department of Education and Early Childhood Development at 709-729-6281.
If you have questions pertaining to the completion of this form or processing times, please call (709) 729-7925.Any other questions or comments may be directed
to the Manager, High School Certification, P.O. Box 8700, St. John’s, NL, A1B 4J6.

Full Legal Name: _________________________________ Student Number (if known): _______________________

Maiden Name (if applicable): __________________ Date of Birth: _____________ Last Year Attended: _________

Last Grade or Level Completed: _______ Last High School Attended: ____________________________________

Address When Last Attended School: ________________________________________________________________

Current Phone Number: ________________________ Email: ___________________________________________

Current Mailing Address: _________________________________________________________________________

Requesting:  High School Transcript  High School Diploma  GED Transcript  GED Certificate

Mail Transcript/Diploma to:  Same as Current Address Above

_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
PLEASE PROVIDE COMPLETE MAILING ADDRESS, INCLUDING POSTAL CODE.
If you require extra copies sent to other than the above, please supply a list.

Fax Transcript:
Aten�on to: __________________________________ Fax Number: _____________________________

Email Transcript:
Email Address: _________________________________________________________________________

Student Authorization: I acknowledge the Department of Education and Early Childhood Development (EECD), Government of Newfoundland
and Labrador, has authority to collect the general information contained in this form and the Department of EECD to disclose my transcript
information to the destinations listed above in accordance with the instructions I have provided. I understand that this request will be
processed only if signed by the student/former student or an authorized person, with written consent of the student/former student.

Signature: _____________________________ Date: _______________________________


NOTE: Please ensure your form is signed before submitting it via fax, mail or email using the contact
information at the top of this form. For email requests, you will receive an email acknowledging receipt of
your request.

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