Request for Transfer of Student Records
Student name
Date of birth
/
Month
/
Day
Year
Date
Provincial Student Number
I would like to request the following student records
Cumulative Record
Confidential Record
Student records to be transferred from:
School name
School address
Parent/Guardian Name (by typing your name, it acts as your signature and gives consent for us to acquire student records from previous school.)
First Name
Last Name
Today's Date
/
Month
/
Day
Year
Date
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Should be Empty: