Office of the Registrar
2400 Gillionville Road
Ram Central, C Building
Albany, GA 31707
Office: (229) 500-4358
Enrollment Verification Request Form
Ram ID:
SSN: XXX-XX Date
Last Name First Name Middle Name Maiden
VERIFICATION REQUESTED:
Enrollment Verification (Current Semester Only)
Enrollment Verification (All Semesters)
Applied and never enrolled verification
Insurance Verification
In-School Deferment (Please include the deferment form)
Other (Please include additional information)
Do you want your social security number on the form? Circle one: YES NO
Do you want to include your anticipated graduation date? Date:
SPECIAL REQUEST:
Pick up-List the name of the person picking up verification:
Fax letter to: _______________________________
Email letter to: _____________________________
To be Mailed: Include address below
Please include a day time number that you can reached:
Signature Date
Please allow 24-48 hours for processing. During peak times, please up to 72 hours for processing.
Revised 05/2019 Office of the Registrar
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signature
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