International Summer School Transcript Request Form Student Name: ID Number: Date of Birth: Email: (if applicable) / / day / month / year Course Undertaken: Independent Enrolment: Course Year: Institutional Enrolment: (please state institution) Address(es) to which transcript should be posted: Signature of Student: A fee of €10 for one to five copies, must accompany this request. No fee is required if transcripts are to be posted to another university. The fee is payable by Bank Draft or Money Order (posted with this form to NUI Galway International Summer School) or via international wire transfer using the following bank account details: Bank: Bank of Ireland, Eyre Square, Galway, Ireland Account Number: 28453773 Sort Code: 90 38 16 IBAN No: IE 42 BOFI 903816 28453773 BIC (Bank Identifier Code is the SWIFT address of the receiving bank): BOFIIE2D Reference Code: NUIG SSTR Please return the signed completed form to the following address or email: International Summer School Office Nun’s Island National University of Ireland – Galway Ireland email: summerschool@nuigalway.ie Upon receipt of the completed form (including signature) and fee, your transcript will be issued.