request for a replacement parchment

jpmichel — tue, 05 jun 2018 12:38:00 +0000

graduates who have had their parchments destroyed or damaged may request a replacement parchment using this form. the original parchment must be surrendered when submitting this request. if the original parchment cannot be returned, sufficient reasoning and statutory declaration (signed and sealed by a notary public) is required. a replacement parchment will be the most current version of the university parchment and will be noted as a "reprint".

student id # *

first name *

last name *

previous last name (if any)

date of birth *

month

day

year

phone (with area code) *

lakehead e-mail address *

original parchment condition *

i am returning my original parchment.

i cannot return my original parchment and will send a statutory declaration.

name of degree and/or reason original parchment cannot be returned. *

i would like to pick up my parchment

replacement parchment - thunder bay campus pick-up [$50.00]

replacement parchment - orillia campus pick-up [$50.00]

i would like my replacement parchment mailed

replacement parchment mail fee [$85.00]

address

country

address 1 *

address 2

city *

province *

postal code *

add address to 阿根廷vs墨西哥竞猜 record?

the address above is a new home address that can be added to my 阿根廷vs墨西哥竞猜 record.

conferences, events, & stores - 阿根廷vs墨西哥竞猜 : replacement parchment

request for a replacement parchment