Application for Academic Transcript
University College of Anuradhapura
1. Full name of the Applicant:
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2. Name with Initials: ……………………………………………………………………………………..
3. Registration Number: ………………………………………………………………………………….
4. Course/ Department: ………………………………………………………………………………….
5. National Identity Card No: ……………………………………………………………………………
6. Contact No: ……………………………………………………………………………………………...
7. What is the purpose of requesting the transcript: …………………………………………………..
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8. If you are unable to collect the transcript from UCA, details of the authorized person
appointed on your behalf:
Name: ……………………………………………………………………………………………………
National Identity Card No: ……………………………………………………………………………
Date: ………………………… Signature of the Applicant: ………………………………...