Letter of Authorization for Diploma Collected by Representative
I-Shou University
Due to the fact that I, ____________________ (Student ID No._____________),
a graduate from Department/Graduate Program of ________________________,
have accomplished the credits required for graduation, I request for the completion of
the leaving procedures.
As I am unable to collect my diploma in person, I hereby authorize
_______________________ (National ID No. __________________) to collect the
diploma on my behalf; I shall be fully responsible for errors, if any.
Attachments for receiving your diploma to Registrar Section：
(1) The graduate’s Student ID Card (or other identification) and personal
name seal;
(2) Letter of Authorization (filled out by the applicant personally);
(3) The representative’s identification and personal name seal;
(4) Two paperback copies of doctorial dissertation (for students of doctoral
program) / one paperback copy of master thesis (for students of master
program)
Graduate’s Student：
（signature）
Date:
/
/
(Y/M/D)