REQUEST FOR ACADEMIC DOCUMENTS
(See Below For Instruction) 

applic1.jpg (3708 bytes)

The Registrar
________________________________

________________________________

________________________________

Dear Sir:

In support of my application for registration as a Professional (Engineer) (Geologist) (Geophysicist) in the Province of Alberta, Canada would you please forward a

(  ) Certification of Graduation
(  ) Transcript of my record (official list of courses and marks)
DIRECTLY to the: Director Registration and Compliance
Association of Professional Engineers,
Geologists and Geophysicists of Alberta
15th Floor, Scotia Place, Tower One
10060 Jasper Avenue
Edmonton, Alberta, CANADA T5J 4A2

Yours truly, 

(Signature) (Address - Street) 
(Legal Name - Please Print)
(City and Province)
(Preferred Name) (Country and Postal Code)
(Date)
DEGREE 
FACULTY
DISCIPLINE
DATE OF GRADUATION
STUDENT NUMBER (If Applicable)

For University Use Only: CERTIFICATION OF GRADUATION

_______________________________________________
(Certified Correct)

____________________________________________
(Signature or Seal of University)

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