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Request Official Records    
  1. Under existing policy, no official document will be releasedunless all financial obligations are settled. Exit Clearance(Form 07- 04) will be required if the student is leaving theschool.
  2. Requests and claiming of documents by representative/proxy should be accomplished by an authorization letter fromparent/guardian.
  3. Please return this form to the Registrar after payment at theAccounting Office. Without this form, the request cannot be processed.
  4. You may follow up at the Registrar's office for the status ofyour document request.
  5. Documents not claimed after thirty (30) days will be destroyed. Payments made are not refundable.
Your name:  
* Your email address: Confirm email
Subject    
Gender Contact Information:  
Birthday * Telephone No.
Birthplace Cellphone No.
* Address:
(Street)

Zipcode:
* Document Delivery Instruction
COURIER: Please send the documents via courier to the address indicated here. It is understood that the delivery period is over and above the processing period.
PICK-UP: The documents will be claimed by the owner
who will present one (1) valid ID upon claiming and theproof of payment.		 PROXY: A proxy/representative will be sent to claim thedocuments. Upon claiming, he/she should have an authorization letter from the owner, and the proof ofpayment.  
Academic Information
Student Number:    
Entry level:    
Exit level    
Did you graduate from XHIS?
            Yes, I graduated on  
            No, my last enrollment was in , School Year -

Were you givencopies of transcript of records previously? Yes       No  
 

* Additional Information

You must fill in the fields marked with a *

  
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Xi'an Hi-Tech Development Zone Shaanxi, P.R. China 710119 | Telefax: +86(29)8569-1659