LETTER OF DIRECTION AUT OF DIRECTION AUTHORIZATION FOR MAILING by RyanSheridan

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									             LETTER OF DIRECTION / AUTHORIZATION FOR MAILING

_______________________________                                                              ________________________________
Student Name                                                                                 Study Period

________________________________                                                             ________________________________
Student Number                                                                               Social Insurance Number

________________________________                                                             ________________________________
E-mail Address                                                                               Phone Number

This form serves to inform Student Financial Services at the University of Western Ontario that I am unable to receive my
   AP
OSAP funding in person as directed by the OSAP program.

Therefore, I authorize Student Financial Services to mail any funding to the address below. I understand that it is not the
responsibility of Student Financial Services for any misdirected mail as a result of this request.

                                                                                                        I.D
I understand that I MUST provide a copy of my Social Insurance Card and one piece of a valid government I.D. (Valid
Driver’s License, passport, etc.) with this request.

Please Print:

    1. Name:                               ________________________________________________________________

    2. Mailing Address:                    ________________________________________________________________

                                           ________________________________________________________________

                                           ________________________________________________________________
                                           ________________________________________________________________

                                           ________________________________________________________________

                                           Postal Code              ___________________________________________________

                                           Phone Number (_______)___________________________________________




Student Signature: _________________________________________________________                                     Dated: _____________________________

FOR OFFICE USE ONLY
Loans sent:                                                                                                                  Initials
 st
1 installment: _________________ 2nd installment: _________________


                                                                                                                                                 amended.
                       The personal information on this form is collected under the authority of the University of Western Ontario Act, 1982, as ame
             To view the complete Personal Information Collection Notice, visit the online Academic Calendar at: http://www3.registrar.uwo.ca/calendars/index.cfm




April 2009

								
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