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  • Request PEN Number

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    Sunny Kumar
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    This document is a student PEN request form that collects personal information such as name, birthdate, gender, and school history to assign students a Personal Education Number (PEN). It instructs students to fill out the form and fax or email it to the provided contact information if they have not attended a BC K-12 school since 1993 or a public post-secondary institution since 1998. Upon completing their registration at a school, the institution will request the student's PEN on their behalf. The form collects additional information for mailing address and contact preferences to return the PEN assignment.

    Original Description:

    British Columbia_pen RequestForm

    Original Title

    Pen

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    This document is a student PEN request form that collects personal information such as name, birthdate, gender, and school history to assign students a Personal Education Number (PEN). It instructs students to fill out the form and fax or email it to the provided contact information if they have not attended a BC K-12 school since 1993 or a public post-secondary institution since 1998. Upon completing their registration at a school, the institution will request the student's PEN on their behalf. The form collects additional information for mailing address and contact preferences to return the PEN assignment.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    27 views1 page

    Request PEN Number

    Uploaded by

    Sunny Kumar
    This document is a student PEN request form that collects personal information such as name, birthdate, gender, and school history to assign students a Personal Education Number (PEN). It instructs students to fill out the form and fax or email it to the provided contact information if they have not attended a BC K-12 school since 1993 or a public post-secondary institution since 1998. Upon completing their registration at a school, the institution will request the student's PEN on their behalf. The form collects additional information for mailing address and contact preferences to return the PEN assignment.

    Copyright:

    © All Rights Reserved
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    of 1

    ATTN: PEN Coordinator

    Data Management Unit


    PO Box 9170 Stn Prov Gov
    Victoria BC V8W 9H7

    FAX: (250) 356-0277


    NO COVER SHEET REQUIRED!

    1701S

    Student PEN Request Form


    To obtain your Personal Education Number, please fill out the form below in FULL and fax (250) 356-0277 to the Ministry
    or scan and email to PENS.Coordinator@gov.bc.ca. If you have not attended a BC K-12 School since 1993, written a
    Provincial Exam since 1986, or attended a public post-secondary institution since 1998, you do not have a PEN, nor can
    you be assigned a new PEN by submitting this form. Upon registration, the school you apply to will request a PEN on your
    behalf.
    Please note: Your PEN is not required for registration (electronic or otherwise), to any post-secondary institution. Not
    having this number cannot deny or delay your registration in any manner.

    I _______________________, hereby request my Personal Education Number.


    (please sign your name)

    Legal Surname

    Legal First Given Name(s)

    Legal Second (Middle) Given Name(s)

    Usual Surname (if different)

    Usual First Given Name (if different)

    Usual Second (Middle) Given Name (if different)

    Maiden Name (if applicable)

    Past Name(s) (if applicable)

    Birthdate

    Gender

    YYYY ____________ MM ______ DD _______


    Last BC School Attended

    Male _______

    School Student ID Number (if known)


    Female ________
    Current School Attending (if applicable)

    Please complete the following Ministry reply options to ensure the return of your
    request
    e-mail address: _________________________________________________________
    fax number:

    (__________)

    PLEASE READ CAREFULLY AND INITIAL


    THE PERSONAL DEMOGRAPHIC
    INFORMATION PROVIDED ABOVE IS
    COMPLETE AND ACCURATE.

    ____________________________________________

    mailing address: __________________________________________


    mailing address:

    ___________________
    (Initials)

    __________________________________________

    City: ________________________

    Province _____

    Postal Code: _______________

    Note: Usual surname and given name fields


    are for use if you are known by a different
    name than recorded on your birth certificate.

    CONFIDENTIAL INFORMATION
    The information collected on this form will be used to verify your identity for the purposes of communicating your personal education number to you, and
    may also be used to update your PEN file. All information provided on this form will be administered in accordance with the Freedom of Information and
    Protection of Privacy Act. For more information regarding the use of your personal information provided on this form, please contact the Student
    Information Systems Branch, Data Management Unit, Ministry of Education.
    N:\DataManagement\DM PEN\Forms\Student PEN Request Form.doc
    Revised: 11/15/2016

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