OFFICE USE ONLY RECEIVED/PAID STAMP
Please read and abide by the following:
Parchments are issued only in their original form. Copies are not available. Replacements for lost or damaged parchments will be
issued by the Registrar upon receipt of a signed and dated leer with an explanation of what happened to the original parchment.
If the replacement is for a damaged parchment, the original must be returned. From Policy F1001: hps://langara.ca/registration-and-
Please write an explanation of what happened to the original parchment on the back side of this form.
Replacement requests will not be processed without an explanation of what happened to the original.
Parchment Replacement Request Form
REGISTRAR & ENROLMENT SERVICES
STUDENT INFORMATION - to be completed by the student
Legal last or family name:
Former last or family name:
Legal ﬁrst or given name(s): Middle name(s):
Email: Primary telephone: Other telephone:
Name of credential awarded: Year of graduation:
Date of birth (YYYY/MM/DD):
Mail to above address
Fees in Canadian dollars and non-refundable.
$38.00 Regular Studies (ﬁve business days processing)
SUBMIT COMPLETE FORM
WITH CORRECT FEE
By mail with cheque: Langara College, 100 West 49
Ave., Vancouver, BC V5Y 2Z6;
Online at feeportal.langara.ca (search for Parchment Replacement Request -
Regular Studies form).
Processed by: ____________________ Date: ___________