Fillable Cambridge Examination Results Transcript Request Form This form (Western Washington University)

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Cambridge Examination Results Transcript Request Form This form (Western Washington University)

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The Cambridge Examination Results Transcript Request Form This form (Western Washington University) form is 3 pages long and contains:

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  • 5 check-boxes
  • 35 other fields

Country of origin: US
File type: PDF

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Results and certificates – Form 14
Cambridge Examination Results Transcript Request Form
This form is for candidates from the US only, who have an accepted place at university
Please read the information below before completing this form
• This form is valid for applications made for Cambridge candidates who require an official confirmation from
Cambridge to show the Cambridge International AS & A Level grades they achieved in a particular exam series.
• Applications are processed in order of receipt within a 28-day time-frame.
• Your application will either be accepted or queried within three working days of receipt.
• You can only apply for a results transcript once you have been accepted by a university.
• Candidate identification must be in English and clearly show the candidate’s name and date of birth.
• We produce results transcript data using the name given for the candidate at the time of their exam. We will
consider requests for minor amendments if all of the following requirements are met:
– The request is made clearly in an accompanying letter or email.
– The request is being made within 18 months of receipt of the original certificate.
– The amendment can be verified against the candidate’s identification.
Completing the form – Check you have completed the following steps:
1. Fill out the form in BLOCK CAPITAL letters using black ink.
2. Submit a photocopy of relevant identification which shows
your name and date of birth in English.
Acceptable forms of identification are:
• a photocopy or scanned copy of your birth certificate
• a photocopy or scanned copy of the appropriate pages of your passport
• a photocopy or scanned copy of your driver’s license.
Returning the form – You can return the form by email or post:
• By email: Return to info@cie.org.uk. Add: ‘Results Transcript Application’ in the subject field.
• By post: Results Transcript Administrator, Results and Despatches, Cambridge International
Examinations, Cambridge Assessment DC10, Hill Farm Road, Whittlesford, Cambridge,
CB22 4FZ, United Kingdom.
Candidate information
Current full name
(including title)
Date of birth
(DD/MM/YY)
Full name at the
time of the exam
Current address
(including zip code)
Daytime telephone
number
Email address
Examination details
Please provide as much information as possible to avoid delays in processing your application. Please complete a
row for each series being requested:
Example:
We do not issue results transcripts for UNGRADED, NO RESULT, PENDING or TO BE ISSUED outcomes.
Delivery details
Please provide a contact name, mailing address and telephone number for each recipient of the results transcript.
Address 1
Name and job title of person
receiving results transcript:
University name:
University mailing address
of person receiving results
transcript:
University email address:
Address 2 (for transfer students only)
Name and job title of person
receiving results transcript:
University name:
University mailing address
of person receiving results
transcript:
University email address:
Exam series
e.g. June 2014
Examination
e.g. Cambridge GCE
AS and A Level
Centre number
Candidate
number
Centre name and address
JUNE 2014 GCE AS & A Level US123 1234
The Cambridge School
1 Cambridge Road, Cambridge,
USA
Exam series
e.g. June 2014
Examination
e.g. Cambridge GCE
AS and A Level
Centre number
Candidate
number
Centre name and address
The data that you give us, along with data we hold about your grades, will be used to create the results transcript.
We will then send the results transcript to the university or universities whose details you have provided us with. We
will not send the results transcript to any other university or third party, although we will store the data and may
circulate it internally as part of our administration processes.
In accordance with data protection regulations in the United Kingdom and European Union, we are required to tell
you that, by sending your personal data from the United Kingdom to the United States as described above, we will
be transferring it outside of the European Economic Area. By making this application for a results transcript, you
confirm that you consent to this transfer of your personal data outside of the European Economic Area.
If you have any queries about our use of your personal data, please contact Cambridge International Examinations,
1 Hills Road, Cambridge, CB1 2EU, United Kingdom (telephone: +44 1223 553554 or email: info@cie.org.uk
)
Signature of applicant:
Date:
For internal use only
Reference number
Country code
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Cambridge Examination Results Transcript Request Form This form (Western Washington University)

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Completed 13 April 2022

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