OFFICE OF THE REGISTRAR
THE UNIVERSITY OF NORTH CAROLINA AT PEMBROKE

TRANSCRIPT REQUEST FORM

Print, complete and return to the Office of the Registrar.

Last Name First Middle
Address
City State Zip Code
Previous Name or Name Used
Student Number Birth Date Telephone Number
Number of Copies__________($5.00 per Copy, $5.00 per fax, $10.00 per walk-in)

Please note that ALL financial obligations to The University of North Carolina at Pembroke must be met before transcripts can be mailed.      
Check or fill in Appropriate Boxes
[ ] Send Transcript(s) Now
[ ] Undergraduate (Bachelors)
[ ] Pick-up
[ ] Graduate (Masters)
[ ] All Same Day Services
[ ] Hold for Current Term Grades
[ ] Fax
[ ] Hold For Posting of Degree
Beginning Enrollment Date Ending Enrollment Date
Insert address below .

 

 

 

 

Required Signature & Date ____________________________________________________

 
***********************************Office Use Only*************************************
Type of Hold Notified
Date Sent or Picked Up ____________________________________________ Receipt #
Please return completed form to:
Office of the Registrar
PO Box 1510
Pembroke, NC 28372-1510

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