Fillable DUPLICATE/REPLACEMENT PARCHMENT REQUEST (Northern Lights College)

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DUPLICATE/REPLACEMENT PARCHMENT REQUEST (Northern Lights College)

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The DUPLICATE/REPLACEMENT PARCHMENT REQUEST (Northern Lights College) form is 1 page long and contains:

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  • 9 check-boxes
  • 25 other fields

Country of origin: CANADA
File type: PDF

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Student Information
Legal last name * First name * NLC Student Number *
Previous name (if applicable)* Birthdate (yyyy/mm/dd) *
Current mailing address * City *
Province * Country * Postal code *
Email * Phone Number *
Would you like us to update your current mailing address on file with the above details? * Yes No
Request Details
Name of NLC program you graduated from * Graduation year *
Parchment Order *
Processed within 10 business days
# of re-prints ____________ X $25 + GST per re-print
Delivery Method (choose one only) *
Mail to my address above
I will pick up at ____________________ campus (photo ID required)
Send to the destination information below
Destination Info
Send replacement parchment to:
Name of individual and/or organization:
Address
City, Province/State Postal Code Country
Signature
Student records are confidential and are not released without the written consent of the student, unless otherwise required by law. NLC considers
falsified requests to be fraudulent. Your signature indicates you are requesting an official re-print of your NLC parchment and the information you
provided on this form is correct.
Student Signature*
Date*
Campus Services Use Only
Campus Services Clerk
Ensure form is complete
Update mailing address in Colleague if applicable
CERTR non-A/R code (04) for payment
Scan and send form to Student Records
Processed by (initials):
Date payment received:
Student Records Use Only
Notes
Updated January 2021 An Office of the Registrar form
DUPLICATE/REPLACEMENT
PARCHMENT REQUEST
Use this form to request an official re-print of your NLC parchment.
See Page 2 for detailed instructions.
* indicates a required field
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signature
click to edit
DUPLICATE/REPLACEMENT PARCHMENT REQUEST
A duplicate/replacement parchment is an official re-print of your credential. Official re-
prints look almost exactly like an original parchment, with a notation that says “Duplicate of
original issued month/year” in small print along the bottom front.
Allow 10 business days for processing. All required fields on this form must be completed;
incomplete requests will result in processing delays.
Submit your Duplicate/Replacement Parchment Request form using one of the
following options:
In person at any Campus Services office
By scanning and emailing to records@nlc.bc.ca
By faxing to (250) 782-5233
By mailing to:
Office of the Registrar
Attention: Graduation Requests
Northern Lights College
11401 – 8
th
Street Dawson Creek BC V1G 4G2
Make your payment for your request using one of the following options:
In person at any Campus Services office
Debit, credit card, and cash payments accepted
By phone (866) 463-6652
Credit card only
Regulations and procedures regarding duplicate/replacement parchments
i. Duplicate/replacement parchments will only be issued if you have successfully
graduated from an NLC program and have previously been issued a parchment.
ii. The College reserves the right to withhold official records for students in arrears or
with outstanding books or tools.
iii. Allow 10 business days for processing once you have submitted your form. Rush
requests are not permitted.
iv. Use the Official Transcript Request form to order copies of your official NLC transcript.
Further details about graduation and parchments can be found on NLC’s website:
www.nlc.bc.ca/graduation
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DUPLICATEREPLACEMENT PARCHMENT REQUEST (Northern Lights College)

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Completed 5 February 2021

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