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REQUEST FOR VERIFICATION OF ATTENDANCE

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REQUEST FOR VERIFICATION OF ATTENDANCE Powered By Docstoc
					SUBMIT FORM TO:
University of California, Berkeley, School of Law
270 Simon Hall
Berkeley, CA 94720-7200
Phone: (510) 642-2278 Fax: (510) 642-2277
Email: registrar@law.berkeley.edu


                                                   REQUEST FOR VERIFICATION OF ATTENDANCE
                                                           (please allow 2-3 working days internal processing time)


NAME:                                                                                                                        Cal ID #:
              Last, First Middle


ADDRESS:                                                                                                                          Phone:
                   Street, Apt


                                                                                                                                  Date of Birth:
                    City, State, Zip


EMAIL:                                                                                           Previous names:

DATES OF ATTENDANCE AT BOALT HALL:                                                                           TO
                                                                             Month/Year                                           Month/Year
CLASSIFICATION:                               1L      2L            3L     LL.M.          J.S.D.      JSP            Special Status Year:
          OR
DEGREE CONFERRED:                                                   JD     LL.M.          J.S.D.      JSP            Other    YEAR:

REQUEST: Please check all that apply

        VERIFICATION OF ENROLLMENT (for insurance, etc.):                                          TERM:        Fall                     Spring

        GRADUATION CERTIFICATION:                          DEGREE:                                                     DEGREE DATE:

        VERIFICATION OF ATTENDANCE (Including Expected Graduation Date):                                     From:                       To:

        LETTER OF GOOD STANDING (for students transferring to, or taking a course at another law school, etc.)

        Complete the FORM ATTACHED (Federal Loan Deferral forms must go to the main UC Berkeley Registrar's office)

        OTHER (please indicate what you need the letter to say):




DELIVERY: Please provide full mailing address, if applicable

        Will pick up #           copies (Photo I.D. required)

        Mail/Fax #          copies to the address below:                                        Mail/Fax #        copies to the address below:

Recipients Name:                                                                        Recipients Name:

Company:                                                                                Company:

Address:                                                                                Address:

City:                                                      State:                       City:                                                  State:

Zip:                               Country:                                             Zip:                           Country:

Fax Number:                                                                             Fax Number:


                                                           STUDENT AUTHORIZATION, SIGNATURE REQUIRED
            I CERTIFY THAT I AM THE STUDENT, AND I HEREBY AUTHORIZE UC BERKELEY School of Law TO RELEASE THE INFORMATION AS INDICATED

SIGNATURE:                                                                                                                         DATE:


H:\\Regs\\FORMS\\CURRENT                                                                                                                                02/25/2010

				
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