The University of Auckland SA-19 Student Information Centre APPLICATION FOR COPY OF Puu Whai Maaramatanga Aakonga 22 Princes St EXAMINATION SCRIPT Telephone: 09 373 7599 ext 88199 Facsimile: 09 367 7104 E-mail: firstname.lastname@example.org PLEASE PRINT CLEARLY IN BLOCK CAPITALS TO ENSURE YOUR SCRIPT IS STEP 1 SENT TO THE CORRECT ADDRESS (Surname) ID Number (Forename) (Address) Contact Phone STEP 2 I request copies of the following scripts to be forwarded to the above address A/B Semester Campus (Apply to (Term (e.g. City/ Course Code (e.g. CHEM 110) Double Course Title (e.g. Chemistry of the Living World) Code) Tamaki) Semester courses only) Note: (a) Courses for which assessment processes have not been completed e.g. grades are not yet entered on the student record cannot be included. (b) Application can be made not later than three months after the date of the examination. Term Code Term Application closing date th 1052 2005 First trimester 28 August 2005 1053 2005 First semester 25th September 2005 1054 2005 Second trimester 3rd December 2005 th 1055 2005 Second semester 12 February 2006 1056 2005 Third trimester 10th March 2006 STEP 3 Signature: Date: Note: 1. Applications must be handed in to the Student Information Centre, Room 112, ClockTower. 2. Completed application forms will not be accepted without proof of identity (i.e. student ID card). 3. ONLY ONE APPLICATION FORM PER STUDENT. DO NOT REQUEST THE SAME COURSE SCRIPT MORE THAN ONCE.