You are on page 1of 1

VERIFICATION REQUEST

Georgia Institute of Technology Student Records Office, Atlanta, Ga 30332-0315


comments@registrar.gatech.edu, Fax 404-894-0167

PERSONAL INFORMATION
Currently Enrolled Print Name
Last First Middle

Yes

No

GTID # or SSN
If SSN, Last 4 Digits ONLY

Phone Number

Date of Birth

Email Address

TYPE OF VERIFICATION
Academic Standing Certification of Degree Degree Pending Overall GPA Pre-Registration Letter Rank Transient Letter

ORDER INFORMATION

Number of copies

Check here to pick up verification in person (PHOTO ID REQUIRED)


Or

Mailing Address or Fax

Special Instructions:

Signature:

You might also like