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Transcript Request Form OFFICE OF THE UNIVERS ITY REGI STR AR Part 1 Student Information Name Prior Name s if any Date Last Name First Name ID or Social Security Number Phone Number Signature Part 2 Please Check ALL that Apply If requesting an Official Transcript payment is required for processing. Make check or money order payable to Adelphi University. An official transcript is one that bears the seal of the University and an authorized signa.

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