Information Release Form

 

 

 
 

School Name                                       

 

 

Address

 

 

Attn: Transcripts and Records Office

 

Dear Sir or Madam:

 

This is to authorize release of information pertaining to my enrollment to:

 

Embassy of the State of Kuwait

Cultural Division

Attn:                                             

(Academic Adviser)

3500 International Drive, NW

Washington, D.C. 20008

 

My dates of attendance were from                         to                             .  My social security/school I.D. number is                                                .  My complete name appears in your records as                                                     and my date of birth is

                                 .

 

Thank you for your kind assistance in this matter.

 

 

 

                                                                                                                                                                      

(Signature)