Form 103-r-e Usawc Transcript Request Form - Us Army War College - Massachusetts

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USAWC Transcript Request Form
U.S. Army War College
Office of the Registrar
122 Forbes Avenue
Carlisle, PA 17013-5214
717-245-4166; Fax: 717-245-3166
email: usarmy.carlisle.awc.mbx.registrar@mail.mil
1. Number sealed official hard copies:
2. Unofficial pdf copy via email:
a. Pdf: Encryption available to recipient transmission:
Yes
No
b. If encryption is not available, permission by recipient for USAWC to transmit unencrypted pdf:
Consent
Non-Consent
c. Email address requiring pdf file:
d. Name/Telephone number of recipient:
3. I attended the U.S. Army War College (USAWC) and graduated in
(month/year).
Student Name:
(Name under which I attended USAWC, if different than above)
SSN:
Address:
(Street Address)
(City)
(State)
(Zip Code)
4. I authorize the Registrar, USAWC, to release information concerning my academic record in the form of a transcript
to (if more that one addressee, list other addresses on a separate sheet):
There is no fee.
Signature:
(Date)
This request must be faxed, scanned or mailed, signature is mandatory
FAX: (717) 245-3166
MAIL: Registrar, USAWC, 122 Forbes Avenue, Carlisle, PA 17013-5214
Scan/Email : usarmy.carlisle.awc.mbx.registrar@mail.mil
DATA REQUIRED BY THE PRIVACY ACT OF 1974
AUTHORITY: 10 USC, 3013, and EO 9397
PRINCIPLE PURPOSE: To obtain transcripts.
ROUTINE USE: To identify student records.
DISCLOSURE: Voluntary, however, failure to provide the information could result in delay/inability to supply transcript.
CBks (Provost-Registrar) Form 103-R-E
Rev Oct 14
USAWC Transcript Request Form
U.S. Army War College
Office of the Registrar
122 Forbes Avenue
Carlisle, PA 17013-5214
717-245-4166; Fax: 717-245-3166
email: usarmy.carlisle.awc.mbx.registrar@mail.mil
1. Number sealed official hard copies:
2. Unofficial pdf copy via email:
a. Pdf: Encryption available to recipient transmission:
Yes
No
b. If encryption is not available, permission by recipient for USAWC to transmit unencrypted pdf:
Consent
Non-Consent
c. Email address requiring pdf file:
d. Name/Telephone number of recipient:
3. I attended the U.S. Army War College (USAWC) and graduated in
(month/year).
Student Name:
(Name under which I attended USAWC, if different than above)
SSN:
Address:
(Street Address)
(City)
(State)
(Zip Code)
4. I authorize the Registrar, USAWC, to release information concerning my academic record in the form of a transcript
to (if more that one addressee, list other addresses on a separate sheet):
There is no fee.
Signature:
(Date)
This request must be faxed, scanned or mailed, signature is mandatory
FAX: (717) 245-3166
MAIL: Registrar, USAWC, 122 Forbes Avenue, Carlisle, PA 17013-5214
Scan/Email : usarmy.carlisle.awc.mbx.registrar@mail.mil
DATA REQUIRED BY THE PRIVACY ACT OF 1974
AUTHORITY: 10 USC, 3013, and EO 9397
PRINCIPLE PURPOSE: To obtain transcripts.
ROUTINE USE: To identify student records.
DISCLOSURE: Voluntary, however, failure to provide the information could result in delay/inability to supply transcript.
CBks (Provost-Registrar) Form 103-R-E
Rev Oct 14

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