Transcript Release Form

(For Private, Unsupervised Students)

 

 

 

 

________________________________

School Name

 

________________________________

Address

 

________________________________

 

 

________________________________

Attn: Transcripts and Records Office

 

 

 

Dear Sir or Madam:

 

This is to authorize the release of an official transcript or any other information pertaining to my enrollment to:

 

The Authentication Department

Embassy of the State of Kuwait

Cultural Division

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                                                          Date