Fillable OFFICIAL TRANSCRIPT REQUEST (North Island College)

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OFFICIAL TRANSCRIPT REQUEST (North Island College)

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Country of origin: CANADA
File type: PDF

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Rev Dec 9, 2019
OFFICIAL TRANSCRIPT REQUEST
Office of the Registrar
2300 Ryan Road
Courtenay BC V9N 8N6
T: 1-800-715-0914 E: forms@nic.bc.ca
Student’s FULL name and address (print clearly) This is my current mailing address Yes No
NIC STUDENT NUMBER
NAME
FORMER NAME (If Applicable)
ADDRESS
BIRTH DATE (mmm-dd-yyyy)
CITY
PROVINCE
COUNTRY
POSTAL CODE
PHONE NUMBER
E-MAIL ADDRESS
• Student must ensure all final grades have been entered prior to submitting their request.
• Transcript requests will be processed and mailed within one business day of this submission.
• Transcripts will not be released if student has any outstanding fees or fines payable to North Island College.
• This form must be completed in full and signed by the requesting student or it will not be processed.
TRANSCRIPT REQUEST
Mail my transcript(s) to me at the above address No. of Copies ____________
Mail my transcript(s) to the destinations(s) below
Mail to:
INDIVIDUAL / DEPARTMENT
INSTITUTION / COMPANY
No. of copies
MAILING ADDRESS
__________
CITY
PROVINCE
POSTAL CODE
Mail to:
INDIVIDUAL / DEPARTMENT
INSTITUTION / COMPANY
No. of copies
MAILING ADDRESS
__________
CITY
PROVINCE
POSTAL CODE
FEES: Transcripts will be processed once payment has been received. Payments may be made in person by VISA, MASTERCARD, American Express, debit card or cheque.
Mailed in requests must be accompanied by cheque or money order. To help prevent credit card fraud DO NOT write your credit card information anywhere on this
form. If emailing in your request, a NIC representative will contact you directly for this information and your payment will be processed directly into a secured
website. Official Transcript - $10.00 + GST/ per copy
Total No. of Copies ____________ @ $10.00 + GST __________________ = Total Cost: _________________
FOR CAMPUS/CENTRE USE ONLY
Receipt No.: __________________________________________________ RA Signature: __________________________________________________
The information on this form is collected under the authority of the College and Institute Act, and will be used to process this request. Inquiries about the
collection or correction of personal information should be addressed to the Registrar.
I hereby authorize North Island College to release my student records to the addressee on this form.
Student Signature
_________________________________
Date (mmm-dd-yyyy)
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OFFICIAL TRANSCRIPT REQUEST (North Island College)

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Completed 19 October 2020

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