DD/MM/YY
ENR21004
GENERAL INFORMATION
ENROLMENT SERVICES STUDENT FORM
Request for Replacement
or Reissued Credential
Enrolment Services
805 TRU Way,
Kamloops, BC V2C 0C8
tru.ca | Fax: 250-852-6405
Email: records@tru.ca
REISSUED CREDENTIAL
Applies to credentials under POLICY ED 25 granted by Cariboo College, The University College of the Cariboo, the Open
Learning intstitute, the Open Learning Agency, the British Columbia Open University, or the British Columbia Open College,
as the sole granting institution. All credentials will be reissued under Thompson Rivers University.
DUPLICATE CREDENTIAL FEE
Please go to tru.ca/fees for information on fees
ENTER TRU STUDENT NUMBER
(PRINT CLEARLY)
STUDENT’S SIGNATURE DATE
DATE OF BIRTH
CONTACT INFORMATION (PRINT CLEARLY)
PRIMARY TELEPHONE NUMBER
AREA CODE
EMAIL ADDRESS SECONDARY TELEPHONE NUMBER
AREA CODE
please allow 6-8 weeks processing time for replacement/reissued credential
NAME OF CREDENTIAL YEAR AWARDED
CREDENTIAL INFORMATION (PRINT CLEARLY)
oPick up
oMail to (address below)
PERSONAL DATA (PRINT CLEARLY)
FULL NAME
(
SURNAME, FIRST, MIDDLE
)
UPDATE NAME TO
(
SURNAME, FIRST, MIDDLE
)
o Replacement credential
o Original damaged
o Lost credential (declaration of loss of original credential aached)
o Name change (documentation of name change required)
o Name to appear on replacement credential (above)
o Other
ORIGINAL CREDENTIAL MUST BE RETURNED PRIOR TO RELEASE OF REPLACEMENT/REISSUED CREDENTIAL
MAILING ADDRESS (PRINT CLEARLY)
MAILING ADDRESS
(
INCLUDE BUZZER CODE IF APPLICABLE
)
CITY / TOWN / VILLAGE
PROVINCE / STATE POSTAL CODE / ZIP CODE COUNTRY
click to sign
signature
click to edit
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