VERIFICATION REQUEST FORM

Student Information
Student ID:*
Telephone Number:*
Receiver Address:*
City:*
Country:*
State:*
Full Name(Last, First Middle):*
Email Address:*

Delivery Method

(select one)

FEE

Send to Email Address (Scanned Copy)

Free of Charge

Registered Mail.

40.00

Speed Post

60.00

DHL

120.00