reactivationx2x

reactivationx2x - Student ID...

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Graduate Admissions and Program Evaluations GRADUATION DATE CHANGE REQUEST FOR AWARD MASTER’S DEGREE Instructions for student: Please fill out this form completely and pay $10 at the Cashier’s Office. Return stamped form directly to Graduate Admissions and Program Evaluations. Graduation deadlines may be found on the website at http://www.sjsu.edu/gape Change my graduation date from ____________________ to _____________________ Semester/Year Semester/Year (Please print legibly) Name on SJSU record____________________________________________________ Diploma Name _________________________________________________________ Last name must match name on university records. If name differs, submit official name change request to Registrars Office located in the Student Service Center.
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Unformatted text preview: Student ID _____________________________________________ Email Address __________________________________________ Degree and Major _______________________________________ Diploma Mailing Address ** _____________________________________ _____________________________________ _____________________________________ **If your diploma address changes before diploma is received please notify our office immediately. Failure to notify us will result in a long delay because diplomas DO NOT get forwarded by the post office to your new address. Cashiers Office Use Only Date Change Fee. .$10.00 Account # 82598 Receipt # ____________________ Date Paid ____________________...
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