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75 Elliott Road,
Karrinyup WA 6018
(08) 9341 9111
stmarys@stmarys.wa.edu.au
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Request for Records
Today's date
(Required)
DD slash MM slash YYYY
This form is to be completed by Old Girls wishing to obtain a copy of records from St Mary’s Anglican Girls’ School’s archives.
St Mary’s will endeavour to assist with all reasonable requests in a timely manner. To assist us in this, we require proof of identity and payment of an administration fee (refer Identification and Payment sections below) as part of this request process.
Western Australian Certificates of Education (WACE) and Western Australian Statements of Student Achievement (WASSA) are not held by St Mary’s.
If you wish to obtain a copy of these records, please contact
SCSA
directly.
St Mary’s Privacy Policy can be found on our website.
Old Girl – Current Details
Full name
(Required)
Street address (include suburb and postcode)
(Required)
Email address
(Required)
Contact number
(Required)
Date of birth
(Required)
DD slash MM slash YYYY
Old Girl – St Mary's Information
Name while at St Mary's
(Required)
Year(s) attended
(Required)
In which capacity did you attend St Mary's?
(Required)
I was a day student
I was a boarder
I was both a day student and a boarder
Records
Records requested
(Required)
Verification of Attendance ($25)
Reports, School Certificates, Statement of Achievement/Testimonial, Statement of Results ($35)
Indicate the specific records required:
Reports
School Certificates
Statement of Achievement/Testimonial
Statement of Results
If the records you would like are not listed above, please email our
Privacy Officer
with the information you require.
Delivery method
(Required)
Email (.pdf)
Australia Post (certified mail)
In-person collection (with proof of ID)
Postal address (include suburb and postcode)
(Required)
Identification
Upload one form of identification (eg birth certificate, driver's licence, passport)
(Required)
Accepted file types: pdf, docx, Max. file size: 25 MB.
Payment
• An administration fee of $25 is payable in advance for a Verification of Attendance.
• An administration fee of $35 is payable in advance for Reports, School Certificates, Statement of Achievement/Testimonial and/or Statement of Results.
Click on the BPOINT link below and use the information provided to complete your payment before returning here to submit this form.
If payment is not received within 5 working days of submitting this form, we will assume the records are no longer required.
If St Mary’s is unable to fulfil your request, we will contact you to arrange reimbursement of the fee paid.
BPOINT
Biller Code:
2026136 – Records (select from drop-down list)
Payment Reference Number:
296327
Full Name:
(surname & first name)
Reference:
(year left & reference)
Submission
On submitting this form you will receive an email confirming your submission was successful.
Once payment and availability of records is confirmed, you will receive them by the delivery method indicated.
If you have opted to collect the records in person, you will receive an email advising when they are available for collection from St Mary’s Senior School Reception. The identification document uploaded with this form will need to be shown when collecting the requested records.
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