Assumption University Logo Form – Fill Out and Use This PDF

R.5

OFFICIAL TRANSCRIPT

PETITION

Assumption University

				Due Date
INSTRUCTIONS: See reverse side					(Staff)
		Postgraduate program		Undergraduate program
Faculty ________________ Major _________________ Minor ________________

1.Mr./Ms./Mrs._________________________________ Admission No._________________

(In English)

__________________________________

(In Thai)

2.Permanent Address _________________________ Tel.___________________________

_____________________________________

_____________________________________ Post Code ___________________

3.Date of Birth____________________________ Place of Birth_________________

4.Nationality______________________________ Religion ______________________

5.I wish to have the following included in my transcript.

work in progress

final grade after recent exams

degree posted on transcript (graduated student only)

6.If you wish to have “work in progress” included in your transcript, you are required to complete this portion of the form.

No

Course No.

Course title

Credits

Section

1.

2.

3.

4.

5.

6.

7.

8.

7.Total number of transcripts requested at this time __________

8.Collected at Office of the University Registrar

Hua Mak Campus Window 7

Bang Na Campus SM 116

9. Mailed - see reverse
Domestic mail	# of addresses
International mail	# of addresses
	Signature______________________Date_____________
				DD/MM/YY
	Official Transcript Petition Slip
Petitioner			Staff
Admission No.____________________________		Number of transcript requested ___________ File No.___________
Name _______________________________________		Please come back to receive your transcript on__________________
Faculty___________________ Major______________		or within 3 months after this		DD/MM/YY
			Hua Mak	Bang Na
Date of Submission ___________________			Signature_________________________
	DD/MM/YY
				Registration Officer
	Please turn over for authorization of third party to pick up your transcript.

INSTRUCTIONS:

1.Fill in all the information in the spaces provided.

2.Pay (Baht 50 / copy) at the Office of Financial Management.

3.If mailing

3.1Domestic mail: Write the address legibly on the provided sticker and submit it with this petition. No fee collected.

3.2International mail: Pay additional Baht 100 per international mailing address at the Office of Financial Management. Write the address legibly on the provided sticker and submit it with this petition.

4. To request Official Transcripts from abroad … abac@au.edu or fax +66 2 719 1509 Fee is US$10 / copy (including mailing) and paid by Draft, Transfer or Credit Card.

Note:

-Request will not be accepted if incomplete.

-Assumption University doesn't allow name changes on Official Transcript after graduation.

-Certification may be issued upon request acknowledging name change.

Schedule for processing

-Transcript with work completed to date and / or work in progress (WP) will be ready within 5 days after receipt of the request.

-Transcript with final grade and/or degree posted will be ready approximately one month after the end of final exams.

-If urgent, consult staff and pay Baht 150/copy at The Office of Financial Management. Urgent cases take 1 hour.

	FOR	OFFICE		USE ONLY
	OFFICE OF THE REGISTRAR			OFFICE OF FINANCIAL MANAGEMENT
	Number of International Mailing		Number of transcripts requested________________________________
	addresses_________		Receipt	No._________________________________________________
			Total amount due ฿ ___________________________________________
				Signature__________________________
	Signature_________________________			Date______________________
				DD/MM/YY
	Date_____________________
	DD/MM/YY

ใบมอบฉันทะ

AUTHORIZATION

ขาพเจานาย/นาง/นางสาว…………………………………………………รหัส……………………………………………………...

I Mr./Ms./Mrs.	Admission No.
ขอมอบฉันทะใหนาย/นาง/นางสาว……………………………………….เปนผูรับใบแสดงผลการศึกษาแทนขาพเจา
Authorize Mr./Mrs./Ms.	To pick up my transcript(s)
ลงชื่อ…………………………………………. ผูมอบฉันทะ
Signature (	) Student	Date………………………………

ลงชื่อ…………………………………………. ผูรับมอบฉันทะ

Signature (

) Authorized Party Date………………………………