OFFICE USE ONLY RECEIVED/PAID STAMP
IMPORTANT INFORMATION
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 leer 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: hps://langara.ca/registration-and-
records/pdf/F1001-Regulations.pdf.
Note:
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:
Address:
Langara ID:
Former last or family name:
Legal first or given name(s): Middle name(s):
Postal code:
Province:
City:
Country:
Email: Primary telephone: Other telephone:
DELIVERY METHOD
Name of credential awarded: Year of graduation:
Date of birth (YYYY/MM/DD):
Mail to above address
PROCESSING FEES
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
th
Ave., Vancouver, BC V5Y 2Z6;
Online at feeportal.langara.ca (search for Parchment Replacement Request -
Regular Studies form).
Processed by: ____________________ Date: ___________
(if applicable)
(optional)
CIRCUMSTANCES OF REQUEST
Circumstances of request (No request for parchment replacement will be considered without explanation):
RETURN OF DAMAGED PARCHMENT
DECLARATION
I will mail to Langara my damaged parchment: Registrar & Enrolment Services Office, Langara College, 100 West 49
th
Avenue, Vancouver, BC V5Y 2Z6.
I will explain why my parchment is not available to return:
By submiing the information I have entered on this application, I certify that a) I am the person named in the “Student
Information” section above, and b) the information I have submied is true, correct and complete.
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome