Form 4: Transcript Request: For Institute Use Only
Form 4: Transcript Request: For Institute Use Only
Please tick the order in which you want your name to appear on all AIT documents:
[ ] First, Middle, Last [ ] Last, Middle, First
Birthdate (Day/Month/Year) __________________________________________________________
School/Faculty ___________________________________________________________________
________________________________ _________________________________
Signature Date
To the Registrar/Equivalent College/University Official:
This part is to be
completed by the The above-named person is applying for admission to the Asian Institute of Technology. Our
Registrar/ admission procedure requires the applicant to submit a complete set of transcripts (and other relevant
Equivalent documents) together with his/her Application for Admission Form.
College/University
Official. Please complete this Transcript Request Form. If you need to explain your institution's grading policy,
please do so on a separate sheet of paper. For additional comments, you may write on the back of
this form.
Place the completed Transcript Request Form and your statement (if any) in one envelope together
with the applicant's transcript. Seal the envelope and sign along the flap. Give the sealed envelope to
the applicant. He/she will then forward it to the Institute, unopened. If your institution's policy prohibits
release of transcripts directly to students, please forward the transcript to the address shown below.
To further assist AIT in evaluating the applicant's record, please provide the following information, if
available:
Institute/University seal