er Wasaga
WS)
‘Academic Records Request Form
Reference #: 2828520
For Applicants: Ths form provided tacit the release of your academic ecards by you seeders hsstuion You ae respenible
forcornetrg you seas attr dey
1 Compt hotop parte i fore
2 Submis tomo epstarartoe of xamnstos ote aubarzed ofc where yeu cise yur creer)
4 Notthat sme tira my orgs fe rts see
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- paper BB / 1999. 04/3p02
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For Authored Offa: The esos raed above reques's that ht acai: records be eae Wer cation Sevens He
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‘Yeu, ho aplcatsaeedemevancrpttonon ear etached he frm.
cademie corde list to WES wing the adseses below:
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IES ReeraresNo 2828520
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Reference #: 2828520
For Applicants: The tris proved latte ie rehse lyou aradere reco by your acadamic miton Yous respenabie
forconssng your seaemie nate rosy
1. Completa part i fom
2 Stata mint gettext autrtd sic whe youcaned yar ett)
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Tra Wane Coney Date Aton
MADURA KaAmaent a Fon 1999 ox
UNNERS IT —Be/i999
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Brcteror of ARTS dood HisteRy
Tea Ratha wemioaN TAREE 9 995/586
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ecotsaamen ef es shou show a sues crt ard a gracesmars saree al Yous of,
1, Pease otis fxm advert dare hes toon avarded aor ane stort ates yeu ston
2 Pace is fomand cadens rece) fen vee
5. Sprondecltearvoope sree ne back fap ana er ec foe Stneaan Services
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Tas of ea Conpatna Farm Paar emo Te
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Plas sed this fom an cade neon ety to WES using the adresses below:
‘ByPostal al,
tecsoen na eceyomcreg em accessas erator recreate
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rept egatercrpencrm ce: