REQUEST FOR REPLACEMENT OF

REQUEST FOR TRANSCRIPT OF MARKS OR ADULT HIGH SCHOOL DIPLOMA

Document(s) requested:

Transcript of Mark(s) (Fee $5) If a transcript is being requested,

Do you want all marks to appear or Just one specific mark?

Adult High School Diploma (Fee $10)

Full name:

Email:

Name at time of testing/diploma if different than above:

Mailing address:

Telephone: Date of Birth:

Complete this section only if you want this transcript/ diploma sent to someone other than yourself:

Name of person or institution: Mailing address:

OR Fax number:

Provide copy for my records: yes no

Request and payment must be submitted to Service New Brunswick (SNB). Choose from the following options:

1. Online at snb.ca/ahsde 2. By telephone at 1.888.762.8600 3. In person at nearest SNB office

ADMINISTRATION FEES ARE NON-REFUNDABLE.

July 2018

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