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STATUTORY DECLARATION OF LOSS OF ORIGINAL BACHELOR OF LAWS DIPLOMA

VIEWS: 86 PAGES: 1

  • pg 1
									hi                                      IN THE MATTER OF A REQUEST TO THE UNIVERSITY REGISTRAR
                                            FOR A CONVERTED JURIS DOCTOR DIPLOMA AND UPDATED
                                                                           OFFICIAL TRANSCRIPT



    STATUTORY DECLARATION OF LOSS OF ORIGINAL BACHELOR OF LAWS DIPLOMA

    I,_______________________________________________of
      (full legal name)

    ___________________________________ in the Province of ______________________
    (city/town)                                              (province)

    do solemnly declare that:

    1. I was awarded the Bachelor of Laws degree by the University of Calgary in the month
       of_______________ and year____________.

    2. The original diploma was
                                                not picked up
                                                lost
                                                destroyed

              due to the following circumstances (attach a page if necessary):




    I MAKE THIS SOLEMN DECLARATION conscientiously believing it to be true and knowing that it
    is of the same force and effect as if made under oath.

                                                                                __________________________________
                                                                                                Signature of Declarant

    DECLARED before me in the __________of___________
    in the_____________________ of___________________
    this______ day of_______________ 20____.

    _______________________________________________
    A Commissioner for Oaths in and for the Province of Alberta/
    A Notary Public in and for________________________                                                   (affix seal)




25 0 0 U n i v er s it y D r i v e N .W ., C al g ar y , A lb e r t a , C a n ad a T 2N 1N 4     •          www.ucalgary.ca

								
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