New Mexico Tech
Request for Letter of Certification
______________________________________ _________________________ _________________________
Last Name First Name Student ID #
________________________ DOB:_________ Last four of SSN:________ _________________________
E-mail Date
We cannot certify enrollment for semesters that are still open for registration.
Other information that you would like to include. (The certification will include Full or Part time, Student
Id, and Number of hours.)
_____________________________________________________________________________________________
Please Send to: Name:
___________________________________________
Mail Address:
___________________________________________
Fax
___________________________________________
Email
Pick up Phone: Fax:
Signature:__________________________________________