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Institutional Certification: Transcript Request Form

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0% found this document useful (0 votes)
32 views1 page

Institutional Certification: Transcript Request Form

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: 21-184-66

Name: Last (Family): Useche Galvis First (Given): Camilo Middle: Esteban

Date of birth: 09/18/1996

E-mail: camiloeusecheg@outlook.com

Institution: University of Los Andes

Attended: 07/2015 — 04/2020

Degree: Civil Engineering

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 21-184-66 Attn: NCEES ID 21-184-66
PO Box 1686 280 Seneca Creek Road
Clemson, SC 29633 Seneca, SC 29678

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