MINISTRY OF EDUCATION

EXAMINATIONS SECTION APPLICATION FORM FOR CERTIFIED STATEMENTS AND TRANSCRIPTS

PRIMARY SCHOOL LEAVING

Name as used in Examinations (Block Letters) ……………………………………………………………………

Surname First Name

Present Address: ……………………………………………………………………………………………………

Date of Birth: ………………………………… Sex: M / F Phone Number: …………………………….

STATEMENT TRANSCRIPT

You will be required to pay the following fee(s) at any District Revenue Office and submit your receipt along

with your application form:

(a) $5.00 per Statement/Transcript (Current Year) ) per Examination

(b) $10.00 per Statement/Transcript (Current Year) ) per Year

) per Copy

Receipt Number: ……………………………. Date: ………………………………... Amount Paid: $..................

PLEASE TURN OVER

Name of Exam:

Name of School or

Registration Number

or Centre where exam

was taken

Subject

(Optional)

Year/Years

Exam

was

taken

REQUIREMENTS FOR POSTAGE OF TRANSCRIPTS TO

FOREIGN AGENCIES

One (1) registration Sticker valued at $4.50 and $8.00 in postage stamps

REQUIREMENTS FOR POSTAGE OF TRANSCRIPTS TO

LOCAL AGENCIES

One (1) A5 TrakPak (Can be purchased by any authorised TTPost outlet)

Address to be posted:

FOR TRANSCRIPTS ONLY: ………………………………………………………………………………

………………………………………………………………………………

………………………………………………………………………………

………………………………………………………………………………

The Ministry of Education cannot guarantee availability of documents not collected within THREE (3)

MONTHS of the date required. It is the responsibility of the applicant to ensure that ALL INFORMATION

provided is CORRECT. Unless these requirements are satisfied, the Ministry of Education CANNOT

guarantee that the application will be processed. Refunds will NOT be given for the non-issue of

Statements/Transcripts resulting from incorrect or insufficient information provided.

N.B. – Passport, Driver’s Permit or Identification Card must be presented for collection of Statements. If you

are collecting on behalf of an applicant you are required to walk with a letter of authorisation as well as proper

I.D.

No. of Copies ………………………………………….

Date of Application: …………………………………… Signature: …………………………………………

FOR OFFICIAL USE ONLY

Date Promised: ……………………………………. Signature of Clerk: ……………………………………….

This is to certify that ……………………………………………………………………………………………..

whose Date of Birth is ………………………………………… wrote examination in …………………………

and received the following results:

EXAMINATION

YEAR SCHOOL/CENTRE SUBJECTS

GRADES

AWARDED

Date: ………………………………… Signature of Research Clerk: ………………………………………