Degree Parchment Re-Issue Order Form
This form must be completed in full by the individual who owns the academic record and submitted with proper payment
to:
Enrolment Services,
Office of Registrarial Services,
U.C. Level 3, University of Guelph,
Guelph ON N1G 2W1
FAX 519-763-6809
The fee for this service is $28.25 per copy (includes HST). Please indicate the number of copies required ____.
A. Personal Information
Last Name:
First Name(s):
ID Number:
Date of Birth:
B. Graduation Information
Degree/Diploma obtained (I.E Bachelor of Science):
Date of Graduation Ceremony:
College Graduated From (I.E Arts):
Honours or General Program:
Bachelor/Baccalaureate/Master/Magisteriate:
Exact way name is to appear on the parchment***:
***Note: If your name has changed since graduation and you wish to have this new name appear on your parchment re-
issue, or you want to have a middle name(s) added to it, you must provide legal documentation with this form (i.e.
marriage certificate, legally notarized proof of name change, birth certificate, passport etc.).
Signature:
Date:
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signature
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