REQUEST FOR DUPLICATE DIPLOMA |
||
| Mail to: UNC at Pembroke Office of the Registrar P.O. Box 1510 Pembroke, NC 28372 |
or | Fax: 910-521-6328 |
| Print name as it should appear on your diploma | UNCP ID |
Date |
|||||||||||||||||||||||
(Your
name will appear on your diploma as it does in our student information
system records. If your name as changed since you graduated, you
must complete a Name Change Request Form.) |
|||||||||||||||||||||||||
| Name at time of Graduation | Graduation Date | ||||||||||||||||||||||||
| Email Address | Telephone Number | What was your major? | |||||||||||||||||||||||
Address Diploma is to be mailed |
|||||||||||||||||||||||||
| PO Box/RFD/Street | City | State | Zip Code | ||||||||||||||||||||||
| Type of Degree | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||
| Honors Received | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||
| Applicant Signature | Date | ||||||||||||||||||||||||
| Cashier Signature | Receipt Number | Date | |||||||||||||||||||||||
Fees: |
|
|||||
$25.00
for Duplicate Diploma |
||||||
$10.00
for Diploma Cover |
||||||
| ...... |
This publication is available in alternative formats upon request.
Please contact Disability Support Services, DF Lowry Building, 521-6695.
Return to Forms | Office of the Registrar