Please print out and submit this form as indicated below.

If you have an unpaid balance, transcripts will not be issued.
Please do not E-mail your request. Federal law requires your written SIGNATURE.


Official Transcript Request Form

Mailing Address:
Cosmopolitan University
Clasificador 6
Vina del Mar

Fax: +1 240 358-6627
or + 56 32 48 06 73




Name                                                         

Address                                                        

Phone #                                                       		Date of Birth                                   ID#                              

City/State                                                     ZIP                  

Email                                                                          

Other name(s) you have had                                                                                                             



Number of Transcripts Needed                          
                                          x $10.00 each


                            Total Cost $                            


Send to:                                                         

                                                         

                                                           

Signature of Student (Required)                                                                      Date:                         

 

Click here to pay online  for your transcript


If you have an unpaid balance, transcripts will not be issued.
Please do not E-mail your request. Federal law requires your written SIGNATURE.