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Get High School Diploma Filler Form

Diploma First Name Diploma Last Name Diploma Middle Initial or Middle Name Diploma Suffix Diploma Mailing Address Street1 Line 1 City State Zip Code Country If outside of U.S. With my signature certify that I am the person completing this form and the above information is correct the duplicate/replacement fee of twenty dollars 20US is included in the case of a request for a replacement diploma for a lost diploma I agree that if the original diploma should ever by chance be recovered the replacement will be returned to the University without reimbursement I understand that I will not receive a duplicate or replacement diploma if I have hold and/or financial obligations to the University. Duplicate/Replacement Diploma Request The cost is 20 US dollars. Money order or checks made payable to Temple University is accepted* All replacement and duplicate copies of diplomas will bear a statement indicating as such. All signatures appearing on the diploma will be those of current University officials. Allow up to 4 weeks for receipt. Check One This is a request for a duplicate diploma original/replacement is in my possession or a replacement diploma Name TUID or SSN List any and all used while a student Contact Phone or Email Degree Awarded Graduation Month/Year / Major/Program Note Your first and last name will appear on your diploma as is listed on your official academic record. Write that name below to ensure proper case lower and uppercase and include any applicable special characters. Please indicate your middle initial or middle name as you would like it to appear and a suffix if applicable. Your Signature Date Return Completed Form and Payment to Office of the University Registrar 1801 N* Broad Street 041-14 Conwell Hall 2nd Floor Philadelphia PA 19122 Questions Email argraduation temple. Duplicate/Replacement Diploma Request The cost is 20 US dollars. Money order or checks made payable to Temple University is accepted* All replacement and duplicate copies of diplomas will bear a statement indicating as such. All signatures appearing on the diploma will be those of current University officials. Allow up to 4 weeks for receipt. All signatures appearing on the diploma will be those of current University officials. Allow up to 4 weeks for receipt. Check One This is a request for a duplicate diploma original/replacement is in my possession or a replacement diploma Name TUID or SSN List any and all used while a student Contact Phone or Email Degree Awarded Graduation Month/Year / Major/Program Note Your first and last name will appear on your diploma as is listed on your official academic record. Check One This is a request for a duplicate diploma original/replacement is in my possession or a replacement diploma Name TUID or SSN List any and all used while a student Contact Phone or Email Degree Awarded Graduation Month/Year / Major/Program Note Your first and last name will appear on your diploma as is listed on your official academic record. Write that name below to ensure proper case lower and uppercase and include any applicable special characters.

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