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University of Bridgeport FER PA Consent to Disclose Student Records STUDENT Family Name: Given Name: MI: E-mail: Date of Birth ID # Address: Phone () Third-Party Designee(s) Name (Last, First, MI)

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Student - university of is a form used to report information about students attending a university.

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Information such as student name, ID number, enrollment status, course details, and demographic information must be reported on student - university of.

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