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The semester. Utica College Office of the Registrar 1600 Burrstone Rd., Utica NY 13502 Telephone: 315-792-3195 Fax: 315-792-3020 FULL NAME: Today s Date (mm/dd/yy): (Any and all prior names): Date(s) attended (approximate): check here if you are a current student Date of Birth (mm/dd/yy): Utica College ID# and/or SS#: Student s current mailing address: Your Telephone Number: Complete a separate request for each recipient or attach a sheet with a complete list. Mailing Address or.
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