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Transcript Request Form

This transcript request form provides instructions for an applicant to request transcripts and degree verification from their institution to be submitted to NCEES for credential evaluation. The applicant provides their personal details including name, date of birth, email, institution attended and degree. The institution is asked to certify and submit the applicant's transcripts, diploma, course descriptions and sign off on the documents. The completed form is to be mailed to NCEES for evaluation.

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Jay Patel
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3K views1 page

Transcript Request Form

This transcript request form provides instructions for an applicant to request transcripts and degree verification from their institution to be submitted to NCEES for credential evaluation. The applicant provides their personal details including name, date of birth, email, institution attended and degree. The institution is asked to certify and submit the applicant's transcripts, diploma, course descriptions and sign off on the documents. The completed form is to be mailed to NCEES for evaluation.

Uploaded by

Jay Patel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Transcript Request Form

Note to Applicant
Please send this form to the registrar or controller of your institution. Please note that there may be fees involved for this
service at some institutions.

NCEES ID: 16-143-03

Name: Last (Family): Patel First (Given): Jaykumar Middle: Rajendrakumar

Date of birth: 07/15/1992

E-mail: jay15792@gmail.com

Institution: Gujarat Technological University

Attended: 06/2009 — 05/2013

Degree: Other Technical

Institutional Certification
Note to the Institution, please provide the following documents to NCEES:

Transcripts: Submit transcripts, mark sheets, or official academic records listing all courses and credits/hours of
instruction for lectures and labs; including failures, grades or marks, credits, degree/program completed and graduation
date.
Diploma: Provide a degree verification letter stating the official degree/professional title awarded and the date.
Course Descriptions: Any type of materials that contains the description of each course (i.e. course catalogs, course
descriptions or syllabi) from the time of study.

* Documents must arrive by mail

Name of institution:

Previous name(s) of institution:

Telephone Number:

I certify that the documentation presented represents the applicant's original academic record and has been prepared,
issued, and signed by the appropriate institutional authorities.

Name of institutional official (print) Signature

Official Title E-mail Address Date Issued

Send by mail to: Send by UPS, FedEx, etc. to: (Institutional Seal)
NCEES Credentials Evaluations NCEES Credentials Evaluations
Attn: NCEES ID 16-143-03 Attn: NCEES ID 16-143-03
PO Box 1686 280 Seneca Creek Road
Clemson, SC 29633 Seneca, SC 29678

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