University of Ottawa
REQUEST FOR DOCUMENTS
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The University of Ottawa does not accept ofcial document requests by email.
STUDENT NO.
LAST NAME FIRST NAME MIDDLE NAME
DATE OF BIRTH
YEAR
MONTH DAY
PREVIOUS LAST NAME(S) (IF APPLICABLE)
E-MAIL
AREA CODE AND TEL. NO. ( REQUIRED)
HOME
CELL
DOCUMENTS*
DETAILS
QUANTITY ADMIN. FEES
OFFICIAL ENROLLMENT
VERIFICATION /
DEGREE GRANTED
(PROOF OF STUDIES)
DETAILS
FRENCH
ENGLISH
STATEMENT OF
DEGREE REQUIREMENTS
COMPLETED (GRADUATE
STUDIES ONLY)
TITLE OF DEGREE
FRENCH
ENGLISH
YEAR OBTAINED
DUPLICATE
DIPLOMA
TITLE OF DEGREE
YEAR OBTAINED
SIZE
QUANTITY
QUANTITY
REGULAR
(10 ½” X 8 ½”)
ENGLISH FRENCH
LARGE
(17” X 14”)
ENGLISH FRENCH
OFFICIAL
TRANSCRIPT
(NOTE: ALL OF YOUR
TERMS ARE INCLUDED ON
YOUR TRANSCRIPT)
FRENCH
ENGLISH
COURSE TITLES APPEAR IN THE LANGUAGE THE COURSE WAS GIVEN.
THE UNIVERSITY DOES NOT TRANSLATE TRANSCRIPTS.
DID YOU BEGIN YOUR STUDIES AT THE UNIVERSITY OF OTTAWA PRIOR TO 1974?
. . . . . . . . . . . .
NO YES
YEAR
INDICATE WHEN YOU WISH YOUR TRANSCRIPT ISSUED (THERE IS A DELAY BEFORE THE OFFICIAL RESULTS OF AN ACADEMIC
TERM APPEAR ON YOUR TRANSCRIPT).
WHEN THE RESULTS OF THE CURRENT TERM
(INCLUDING MY ACADEMIC STANDING) ARE AVAILABLE
NOW (EVEN IF SOME RESULTS ARE MISSING)
WHEN I HAVE RECEIVED MY DEGREE
SUMMER FALL WINTER
YEAR
OTHER (SPECIFY)
DELIVERY METHOD
REGULAR MAIL EXPRESS DELIVERY - ADDITIONAL FEES APPLY.
Please include all recipient addresses on page 2 of this form.
TOTAL
*
TO OBTAIN A NEW STUDENT CARD YOU MUST GO TO INFOSERVICE (75 LAURIER AVENUE EAST).
DATE
SIGNATURE (STUDENT)
Notice of Collection of Personal Information
Your personal information is collected under the authority of the University of Ottawa Act, 1965, in accordance with the Freedom of Information and Protection of Privacy Act of On-
tario and University Policy 90. The personal information you provide on this form will be used by the University for purposes consistent with the administration of University programs
and activities, and the provision of services and performance of functions including recruitment, admission, enrolment, academic programs, evaluations, ofcial document requests,
nancial aid and awards, assisting student associations and graduation. If you have questions about the collection, use and disclosure of your personal information, please contact
InfoService at 613-562-5630 or infoservice@uOttawa.ca.
METHOD
OF PAYMENT
Debit and prepaid
credit cards
not accepted.
CHEQUE PAYABLE TO “UNIVERSITY OF OTTAWA” ENCLOSED
CARD NUMBER
EXPIRY DATE
MONTH
YEAR
SIGNATURE (CARD HOLDER)
Oce of the Registrar
|
Infoservice
75 Laurier Avenue East, Ottawa (Ontario) Canada K1N 6N5
Fax: 613-562-5323
|
infoservice@uOttawa.ca
REGI-3164(F) PDF 2015/10
Université d’Ottawa
|
REGI-3164 PDF 2020/01
. . . . . . . . . . . .
click to sign
signature
click to edit
click to sign
signature
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RECIPIENT(S) NAMES AND ADDRESSES (YOU MAY PROVIDE NAMES AND ADDRESSES FOR MORE THAN ONE RECIPIENT)
RECIPIENT
1
NAME
ADDRESS
POSTAL CODE
NOTE :
WOULD YOU LIKE EXPRESS DELIVERY? ADDITIONAL FEES APPLY.
RECIPIENT
2
NAME
ADDRESS
POSTAL CODE
NOTE :
WOULD YOU LIKE EXPRESS DELIVERY? ADDITIONAL FEES APPLY.
RECIPIENT
3
NAME
ADDRESS
POSTAL CODE
NOTE :
WOULD YOU LIKE EXPRESS DELIVERY? ADDITIONAL FEES APPLY.
RECIPIENT
4
NAME
ADDRESS
POSTAL CODE
NOTE :
WOULD YOU LIKE EXPRESS DELIVERY? ADDITIONAL FEES APPLY.