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
Office of Registrarial Services,
U.C. Level 3, University of Guelph,
Guelph ON N1G 2W1
The fee for this service is $28.25 per copy (includes HST). Please indicate the number of copies required ____.
A. Personal Information
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:
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.).
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