Verification of Award NOTE: This manual Verification of Award form should only be used if the free online verification service (http://www.uq.edu.au/myadvisor/olvq) has not returned award details, or if further information (periods of enrolment) is required. In line with the University’s privacy policy, no information apart from name, award and date of conferral can be provided without signed authority from the person about whom the enquiry is being made. Requests will not be processed without written consent and $30 payment. GRADUATE DETAILS First Name: Middle Name: Family Name: Date of Birth: AWARD DETAILS Name of Award: Conferral Date: Further information required: APPLICANT DETAILS Name: Organisation Mailing Address: Facsimile: Email: Reason for request: Employment Further study Immigration Please forward this form together with payment to: Email: transcripts@uq.edu.au Facsimile: +61 7 3346 9450 University Use Only Award: Date of Conferral: Confirmed: Yes / No Date: Signature: Position: Official Stamp Other A $30 charge applies for each manual Verification of Award request. Payment Options Brisbane QLD 4072 Australia ABN 63 942 912 684 GRADUATIONS CREDIT CARD PAYMENT Mastercard Visa Amount Paid: Card No.: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Expiry Date: ____ / ____ Cardholder Name: _____________________ Signature: _______________ CHEQUE PAYMENT Cheque Amount Paid: Cheques should be made payable to The University of Queensland The University reserves the right to reject any applications deemed by the University to not be in its best interest.