Transcript Request Form – Office of the Registrar

Please note: Payment is required for transcript processing.
Standard transcript fee is $20.00, expedited processing is $30.00.
Contact the Finance Office at finance@galen.edu.bz or Records Office at records@galen.edu.bz for questions.
Financial obligations to Galen University must be met for the release of any transcript(s) requested.
Payments are to be made to our Galen University Limited Atlantic Bank Limited account # 100-166-491

Student Payment

Student Name

First

Middle

Last

as it appears on Galen Records

Date of Birth

Phone Number

Email

Student ID

Faculty

Program

Address

Address Line 1

City

State / Province / Region

Country

Type of Transcript

Note:** A separate form must be completed for each additional transcript requested.

Method of Delivery

Proof of Payment

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera

Student Signature

Clear Signature

Date