Application for Academic Transcript
REMEMBER: FILL BEFORE PRINTING
Information about your Academic Transcript
A Swinburne academic transcript gives a complete academic statement, including yearly enrolment details, subjects, results and course completion and/or
graduation details if appropriate. All failures, absences, withdrawals, grades etc. are included.
Cost
The cost of this is RM50 per request per course, which includes one original copy plus RM5 for each additional copy.
Processing time
Academic transcripts generally take fifteen (15) business days to process, longer if you have completed but not graduated, or if you graduated prior to 2000.
Identification required
When requesting an academic transcript, you must present a legitimate form of personal identification (e.g. student ID card, driver's license, passport) showing
your name, photo and signature. If faxing or mailing your request, then a copy of this must be supplied with your request, otherwise your request cannot be
processed.
PERSONAL DETAILS
Submit ID Number: Date of Birth:
Family Name: Given Names:
Address:
If the address above is different to that on the University’s student administration database, this request will be treated as a change of address. Please provide
an explanation if this is not the case.
Daytime phone number: Email address:
Course Title (a separate application is required for each course)
Have you completed your course? If yes, year of completion:
Have you graduated/received your graduation certificate?
If no, have you lodged an Application for Award/Graduation?
If no, you MUST lodge an Application for Award/Graduation before you apply for an academic transcript.
PAYMENT DETAILS
Please indicate how you intend to pay:
Cash (pay at the Finance Counter on campus)
Cheque/Money order (made payable to “Swinburne Sarawak Sdn Bhd” and posted, with this form to the address below)
Telegraphic Transfer
Credit Card:
If paying by credit card provides the following information otherwise proceed to “Delivery Instructions” section.
Cardholder number: Card Type: Expiry date:
Cardholder name:
Signature:
Number
of copies requested (RM50 for one copy plus RM5 for each additional copy) Total RM:
Office use: Swinburne RHB Bank Berhad; Account number: 2-11016-00065829; SWIFTCODE: RHBBMYKL
DELIVERY INSTRUCTIONS
Hold for collect
ion at the Student Information Centre (please ensure daytime phone number is supplied in Personal Details
section above) Mail to the address indicated above.
Signature:
LODGING APPLICATION FORM AND PAYMENT
In person: Student Information Centre with payment and appropriate ID.
Fax to: +60 82 260819 with credit card payment details and a copy of ID attached.
Mail to:
Student Information Centre
Swi
nburne University of Technology Sarawak Campus
Jalan Simpang Tiga
93350 Kuching, Sarawak MALAYSIA
With cheque or credit card payment details and a copy of ID attached.
PRIVACY STATEMENT
Privacy Statement Swinburne University of Technology Sarawak Campus collects, uses and destroys personal data in accordance with our Privacy Collection Notice
at http://www.swinburne.edu.my/privacy/. Enquiries relating to this form should be directed to the Student Information Centre.
Swinburne University of Technology – Application for Academic Transcript
Version 6, June 2017
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