Fillable Form 2: 1 Emploi et Social Development Canada (Government of Canada)

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Form 2: 1 Emploi et Social Development Canada (Government of Canada)

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PROTECTED B WHEN COMPLETED
NOTE TO STUDENTS: Present this form to the NSLSC or your previous
Lender at the beginning of your school year.
ESDC SDE0003 (2021-07-FINAL) E
Page 1 of 6
Employment and
Social Development Canada
Emploi et
Développement social Canada
CANADA STUDENT FINANCIAL ASSISTANCE PROGRAM
CONFIRMATION OF ENROLMENT
SCHEDULE 2
(Version française disponible sur demande)
IMPORTANT NOTICE - READ OVERLEAF
Province
2
1
Social Insurance Number (SIN)
Confirmation of Enrolment - To Be Completed By The Student and Educational Institution
Family Name of Student Given Names of Student
Address While at School
Date of Birth
Year Month Day
Number of
Weeks of
Study
Period of Study Commencement
Date
Year Month
NOT VALID AFTER
THIS DATE
Period of Study End Date
Year Month
Institution Code
Primary Telephone Number
Program of Study Code
Permanent Address
Secondary Telephone Number Email Address of Student
Name and Address of Educational Institution
To Be Completed By Educational Institution - As required (1) by the CSFAA and CSFAR and (2) by the CSLA and CSLR for CSLs, this confirms that this
student is enrolled (select one)
full-time or part-time
(Refer to Instructions to Students on overleaf.) The student is registered at the above-named
institution at the post-secondary level for the period of study ending in the month shown above.
Name of Authorized Officer Title Telephone Number
Signature of Authorized Officer of the Educational Institution
Date Signed
Year Month Day
Confirmation of enrolment valid for only 30
days from this date – VOID after the period
of study end date.
Consent and Certification - To Be Completed By The Student
I certify that all the information on this document is correct as of the date indicated below. I certify that I have read and I understand the "Instructions to
Students" overleaf and agree to comply with them.
I authorize my previous lender, if any, the NSLSC, and the Government of Canada to disclose to and obtain from any other consumer credit grantors,
credit bureaus or credit reporting agencies all particulars and information relating to my CSLs. I authorize any educational institution I have attended,
any appropriate authority, or any employer, to release to the lender or the NSLSC or to the federal government or its agents, whatever information they
need to locate me.
I authorize the federal government, appropriate authority, educational institution, the NSLSC, the CALSC, and any previous lender to collect, use and
disclose data and information related to any of my CSLs and/or CALs that I may have for the purposes of carrying out their duties under, and the
administration and enforcement of the CSFA Program.
If I have entered into any CSL agreements while a minor, I hereby ratify those agreements. I further acknowledge that I am indebted to Canada for the
amounts of financial assistance previously provided.
Do you intend to apply for a determination as a
person with a permanent disability?
Yes
No
I have read and understood the Privacy Notice Statement
included in this document.
Student's Signature Date (YYYY-MM-DD)
Full Name, Address and Telephone Number of the Lender
Mailing Address of the NSLSC
National Student Loans
Service Centre
P.O. Box 4030
Mississauga, Ontario L5A 4M4
Loan Summary
Effective Date of
Transaction
Year Month Day
Amount Brought Forward
from previous
Guaranteed Loans
CAD .XX
Amount Brought
Forward from previous
Risk-Shared Loans
CAD .XX
Transit Number
COPY 1 - NSLSC OR LENDER
COPY 4 - To be given to student
COPY 3 - To be retained by the Educational Institution (and if there is an Early Withdrawal or change in student status, it will be completed and returned to the NSLSC)
COPY 2 - To be sent to CSFA Program by Lender, for Full-Time Guaranteed/Risk-Shared Loans
COPY 22A - To be given to student by NSLSC to provide previous Lender With Confirmation of Enrolment
COPY 1 - To be retained by the NSLSC or Lender
PROTECTED B WHEN COMPLETED
NOTE TO STUDENTS: Present this form to the NSLSC or your previous
Lender at the beginning of your school year.
ESDC SDE0003 (2021-07-FINAL) E
Page 2 of 6
Employment and
Social Development Canada
Emploi et
Développement social Canada
CANADA STUDENT FINANCIAL ASSISTANCE PROGRAM
CONFIRMATION OF ENROLMENT
SCHEDULE 2
(Version française disponible sur demande)
IMPORTANT NOTICE - READ OVERLEAF
Province
22
A
Social Insurance Number (SIN)
Confirmation of Enrolment - To Be Completed By The Student and Educational Institution
Family Name of Student Given Names of Student
Address While at School
Date of Birth
Year Month Day
Number of
Weeks of
Study
Period of Study Commencement
Date
Year Month
Period of Study End Date
Year Month
NOT VALID AFTER
THIS DATE
Institution Code
Primary Telephone Number
Program of Study Code
Permanent Address
Secondary Telephone Number Email Address of Student
Name and Address of Educational Institution
To Be Completed By Educational Institution - As required (1) by the CSFAA and CSFAR and (2) by the CSLA and CSLR for CSLs, this confirms that this
student is enrolled ( select one)
full-time or part-time
(Refer to Instructions to Students on overleaf.) The student is registered at the above-named
institution at the post-secondary level for the period of study ending in the month shown above.
Name of Authorized Officer Title Telephone Number
Signature of Authorized Officer of the Educational Institution
Date Signed
Year Month Day
Confirmation of enrolment valid for only 30
days from this date – VOID after the period
of study end date.
Consent and Certification - To Be Completed By The Student
I certify that all the information on this document is correct as of the date indicated below. I certify that I have read and I understand the "Instructions to
Students" overleaf and agree to comply with them.
I authorize my previous lender, if any, the NSLSC, and the Government of Canada to disclose to and obtain from any other consumer credit grantors,
credit bureaus or credit reporting agencies all particulars and information relating to my CSLs. I authorize any educational institution I have attended,
any appropriate authority, or any employer, to release to the lender or the NSLSC or to the federal government or its agents, whatever information they
need to locate me.
I authorize the federal government, appropriate authority, educational institution, the NSLSC, the CALSC, and any previous lender to collect, use and
disclose data and information related to any of my CSLs and/or CALs that I may have for the purposes of carrying out their duties under, and the
administration and enforcement of the CSFA Program.
If I have entered into any CSL agreements while a minor, I hereby ratify those agreements. I further acknowledge that I am indebted to Canada for the
amounts of financial assistance previously provided.
Do you intend to apply for a determination as a
person with a permanent disability?
Yes
No
I have read and understood the Privacy Notice Statement
included in this document.
Student's Signature Date (YYYY-MM-DD)
Full Name, Address and Telephone Number of the Lender
Mailing Address of the NSLSC
National Student Loans
Service Centre
P.O. Box 4030
Mississauga, Ontario L5A 4M4
Loan Summary
Effective Date of
Transaction
Year Month Day
Amount Brought Forward
from previous
Guaranteed Loans
CAD .XX
Amount Brought
Forward from previous
Risk-Shared Loans
CAD .XX
Transit Number
COPY 22A - STUDENT
COPY 4 - To be given to student
COPY 3 - To be retained by the Educational Institution (and if there is an Early Withdrawal or change in student status, it will be completed and returned to the NSLSC)
COPY 2 - To be sent to CSFA Program by Lender, for Full-Time Guaranteed/Risk-Shared Loans
COPY 22A - To be given to student by NSLSC to provide previous Lender With Confirmation of Enrolment
COPY 1 - To be retained by the NSLSC or Lender
PROTECTED B WHEN COMPLETED
NOTE TO STUDENTS: Present this form to the NSLSC or your previous
Lender at the beginning of your school year.
ESDC SDE0003 (2021-07-FINAL) E
Page 3 of 6
Employment and
Social Development Canada
Emploi et
Développement social Canada
CANADA STUDENT FINANCIAL ASSISTANCE PROGRAM
CONFIRMATION OF ENROLMENT
SCHEDULE 2
(Version française disponible sur demande)
IMPORTANT NOTICE - READ OVERLEAF
Province
2
2
Social Insurance Number (SIN)
Confirmation of Enrolment - To Be Completed By The Student and Educational Institution
Family Name of Student Given Names of Student
Address While at School
Date of Birth
Year Month Day
Number of
Weeks of
Study
Period of Study Commencement
Date
Year Month
Period of Study End Date
Year Month
NOT VALID AFTER
THIS DATE
Institution Code
Primary Telephone Number
Program of Study Code
Permanent Address
Secondary Telephone Number Email Address of Student
Name and Address of Educational Institution
To Be Completed By Educational Institution - As required (1) by the CSFAA and CSFAR and (2) by the CSLA and CSLR for CSLs, this confirms that this
student is enrolled (select one)
full-time or part-time
(Refer to Instructions to Students on overleaf.) The student is registered at the above-named
institution at the post-secondary level for the period of study ending in the month shown above.
Name of Authorized Officer Title Telephone Number
Signature of Authorized Officer of the Educational Institution
Date Signed
Year Month Day
Confirmation of enrolment valid for only 30
days from this date – VOID after the period
of study end date.
Consent and Certification - To Be Completed By The Student
I certify that all the information on this document is correct as of the date indicated below. I certify that I have read and I understand the "Instructions to
Students" overleaf and agree to comply with them.
I authorize my previous lender, if any, the NSLSC, and the Government of Canada to disclose to and obtain from any other consumer credit grantors,
credit bureaus or credit reporting agencies all particulars and information relating to my CSLs. I authorize any educational institution I have attended,
any appropriate authority, or any employer, to release to the lender or the NSLSC or to the federal government or its agents, whatever information they
need to locate me.
I authorize the federal government, appropriate authority, educational institution, the NSLSC, the CALSC, and any previous lender to collect, use and
disclose data and information related to any of my CSLs and/or CALs that I may have for the purposes of carrying out their duties under, and the
administration and enforcement of the CSFA Program.
If I have entered into any CSL agreements while a minor, I hereby ratify those agreements. I further acknowledge that I am indebted to Canada for the
amounts of financial assistance previously provided.
Do you intend to apply for a determination as a
person with a permanent disability?
Yes
No
I have read and understood the Privacy Notice Statement
included in this document.
Student's Signature Date (YYYY-MM-DD)
Full Name, Address and Telephone Number of the Lender
Mailing Address of the NSLSC
National Student Loans
Service Centre
P.O. Box 4030
Mississauga, Ontario L5A 4M4
Loan Summary
Effective Date of
Transaction
Year Month Day
Amount Brought Forward
from previous
Guaranteed Loans
CAD .XX
Amount Brought
Forward from previous
Risk-Shared Loans
CAD .XX
Transit Number
COPY 2 - CSFA Program
COPY 4 - To be given to student
COPY 3 - To be retained by the Educational Institution (and if there is an Early Withdrawal or change in student status, it will be completed and returned to the NSLSC)
COPY 2 - To be sent to CSFA Program by Lender, for Full-Time Guaranteed/Risk-Shared Loans
COPY 22A - To be given to student by NSLSC to provide previous Lender With Confirmation of Enrolment
COPY 1 - To be retained by the NSLSC or Lender
PROTECTED B WHEN COMPLETED
NOTE TO STUDENTS: Present this form to the NSLSC or your previous
Lender at the beginning of your school year.
ESDC SDE0003 (2021-07-FINAL) E
Page 4 of 6
Employment and
Social Development Canada
Emploi et
Développement social Canada
CANADA STUDENT FINANCIAL ASSISTANCE PROGRAM
CONFIRMATION OF ENROLMENT
SCHEDULE 2
(Version française disponible sur demande)
IMPORTANT NOTICE - READ OVERLEAF
Province
2
3
Social Insurance Number (SIN)
Confirmation of Enrolment - To Be Completed By The Student and Educational Institution
Family Name of Student Given Names of Student
Address While at School
Date of Birth
Year Month Day
Number of
Weeks of
Study
Period of Study Commencement
Date
Year Month
Period of Study End Date
Year Month
NOT VALID AFTER
THIS DATE
Institution Code
Primary Telephone Number
Program of Study Code
Permanent Address
Secondary Telephone Number Email Address of Student
Name and Address of Educational Institution
To Be Completed By Educational Institution - As required (1) by the CSFAA and CSFAR and (2) by the CSLA and CSLR for CSLs, this confirms that this
student is enrolled (select one)
full-time or part-time
(Refer to Instructions to Students on overleaf.) The student is registered at the above-named
institution at the post-secondary level for the period of study ending in the month shown above.
Name of Authorized Officer Title Telephone Number
Signature of Authorized Officer of the Educational Institution
Date Signed
Year Month Day
Confirmation of enrolment valid for only 30
days from this date – VOID after the period
of study end date.
Early Withdrawal Notice / Change in Student Status - To Be Completed by Designated Educational Institution
Note To Educational Institution
If this student's status changes before the Period of Study End Date indicated above, complete and send this form to:
National Student Loans Service Centre
P.O. Box 4030
Mississauga, Ontario L5A 4M4
First Day of Classes Date
(YYYY-MM-DD)
Change in Student Status Date
(YYYY-MM-DD)
Student is now enrolled in less than 60% of a full course load
(40% for permanently disabled)
Student is now enrolled in less than 20% of a full-time course load
Withdrew from Educational Institution
Early Completion
Signature of Authorized Officer of the Educational Institution
Date (YYYY-MM-DD)
Loan Summary
Effective Date of
Transaction
Year Month Day
Amount Brought Forward
from previous
Guaranteed Loans
CAD .XX
Amount Brought
Forward from previous
Risk-Shared Loans
CAD .XX
Transit Number
COPY 3 - EDUCATIONAL
INSTITUTION
COPY 4 - To be given to student
COPY 3 - To be retained by the Educational Institution (and if there is an Early Withdrawal or change in student status, it will be completed and returned to the NSLSC)
COPY 2 - To be sent to CSFA Program by Lender, for Full-Time Guaranteed/Risk-Shared Loans
COPY 22A - To be given to student by NSLSC to provide previous Lender With Confirmation of Enrolment
COPY 1 - To be retained by the NSLSC or Lender
PROTECTED B WHEN COMPLETED
NOTE TO STUDENTS: Present this form to the NSLSC or your previous
Lender at the beginning of your school year.
ESDC SDE0003 (2021-07-FINAL) E
Page 5 of 6
Employment and
Social Development Canada
Emploi et
Développement social Canada
CANADA STUDENT FINANCIAL ASSISTANCE PROGRAM
CONFIRMATION OF ENROLMENT
SCHEDULE 2
(Version française disponible sur demande)
IMPORTANT NOTICE - READ OVERLEAF
Province
2
4
Social Insurance Number (SIN)
Confirmation of Enrolment - To Be Completed By The Student and Educational Institution
Family Name of Student Given Names of Student
Address While at School
Date of Birth
Year Month Day
Number of
Weeks of
Study
Period of Study Commencement
Date
Year Month
Period of Study End Date
Year Month
NOT VALID AFTER
THIS DATE
Institution Code
Primary Telephone Number
Program of Study Code
Permanent Address
Secondary Telephone Number Email Address of Student
Name and Address of Educational Institution
To Be Completed By Educational Institution - As required (1) by the CSFAA and CSFAR and (2) by the CSLA and CSLR for CSLs, this confirms that this
student is enrolled (select one)
full-time or part-time
(Refer to Instructions to Students on overleaf.) The student is registered at the above-named
institution at the post-secondary level for the period of study ending in the month shown above.
Name of Authorized Officer Title Telephone Number
Signature of Authorized Officer of the Educational Institution
Date Signed
Year Month Day
Confirmation of enrolment valid for only 30
days from this date – VOID after the period
of study end date.
Consent and Certification - To Be Completed By The Student
I certify that all the information on this document is correct as of the date indicated below. I certify that I have read and I understand the "Instructions to
Students" overleaf and agree to comply with them.
I authorize my previous lender, if any, the NSLSC, and the Government of Canada to disclose to and obtain from any other consumer credit grantors,
credit bureaus or credit reporting agencies all particulars and information relating to my CSLs. I authorize any educational institution I have attended,
any appropriate authority, or any employer, to release to the lender or the NSLSC or to the federal government or its agents, whatever information they
need to locate me.
I authorize the federal government, appropriate authority, educational institution, the NSLSC, the CALSC, and any previous lender to collect, use and
disclose data and information related to any of my CSLs and/or CALs that I may have for the purposes of carrying out their duties under, and the
administration and enforcement of the CSFA Program.
If I have entered into any CSL agreements while a minor, I hereby ratify those agreements. I further acknowledge that I am indebted to Canada for the
amounts of financial assistance previously provided.
Do you intend to apply for a determination as a
person with a permanent disability?
Yes
No
I have read and understood the Privacy Notice Statement
included in this document.
Student's Signature Date (YYYY-MM-DD)
Full Name, Address and Telephone Number of the Lender
Mailing Address of the NSLSC
National Student Loans
Service Centre
P.O. Box 4030
Mississauga, Ontario L5A 4M4
Loan Summary
Effective Date of
Transaction
Year Month Day
Amount Brought Forward
from previous
Guaranteed Loans
CAD .XX
Amount Brought
Forward from previous
Risk-Shared Loans
CAD .XX
Transit Number
COPY 4 - STUDENT
COPY 4 - To be given to student
COPY 3 - To be retained by the Educational Institution (and if there is an Early Withdrawal or change in student status, it will be completed and returned to the NSLSC)
COPY 2 - To be sent to CSFA Program by Lender, for Full-Time Guaranteed/Risk-Shared Loans
COPY 22A - To be given to student by NSLSC to provide previous Lender With Confirmation of Enrolment
COPY 1 - To be retained by the NSLSC or Lender
ABBREVIATIONS:
CSFAA Canada Student Financial Assistance Act
CSFAR Canada Student Financial Assistance Regulations
CSLA Canada Student Loans Act
NSLSC National Student Loans Service Centre
CSL Canada Student Loan
CSFA Program Canada Student Financial Assistance Program
CSLR Canada Student Loans Regulations
CAL Canada Apprentice Loan
CALSC Canada Apprentice LoanService Centre
* In this schedule, educational institution means:
(i) in respect of your previous CSLs, a "specified educational institution" as defined by the CSLA
Important Notice
l All student loans negotiated on or after August 1, 2000 (Direct Loans) are administered by the NSLSC.
l All student loans negotiated prior to August 1, 2000 (Guaranteed or Risk-Shared Loans) are administered by the lending institution.
l If you have Direct Loans and Guaranteed or Risk-Shared loans, you should contact NSLSC first, concerning Confirmation of Enrolment.
l If you have loans negotiated prior to August 1, 2000, it is your responsibility to provide your lender with a valid Confirmation of Enrolment, in order to maintain your previous
loans in interest-free or in-study payment deferred status. Failure to do so will result in the loss of your interest-free or in-study payment deferred status and you may be
required to pay your previous lender any interest owing. Copy 22A of this document can be used for this purpose as long as it is provided to the lender holding the
previous loan, within 30 days of the confirmation date indicated on the schedule.
Instructions to Students
Step 1: Confirm Your Enrolment
Have the Educational Institution you plan to attend confirm your enrolment by completing and signing the Confirmation of Enrolment form.
Step 2: Sign and Date your Confirmation of Enrolment Form
It is important that you read and understand the Consent and Certification and the terms and conditions of this form. You must provide your agreement/consent by signing the Consent
and Certification section of this form.
Step 3: Mail your document to the NSLSC and/or Lender
Mail your completed Confirmation of Enrolment document directly to:
National Student Loans Service Centre
P.O. Box 4030
Mississauga, Ontario L5A 4M4
Please be sure to submit your Confirmation of Enrolment form before the end of your Period of Study.
Withdrawing early from your Studies?
If you withdraw from studies early, your "Period of Study End Date" shown on this Confirmation of Enrolment will be adjusted to the month of withdrawal and your interest-free or in-
study payment deferred status will end on the last day of the month in which you withdraw. Contact the NSLSC and your lender immediately.
Keep your student loans up-to-date
You must provide the NSLSC and any previous lender with a valid Confirmation of Enrolment to continue interest-free or in-study payment deferred status on full-time loans or part-time
loans in the following situations: (1) you have not applied for a new loan and/or grant; (2) you have applied but have been refused for a new loan and/or grant; or (3) you have applied
but have not yet received a new loan and/or grant and the academic year has already begun. Failure to do so as required by the CSFAR and CSLR will result in the loss of your
interest-free status and you may be required to pay interest owing or to pay principal and interest payments while in-study.
Ensure you retain Copy 4 of your Confirmation of Enrolment for your files.
Remember, if you have a full-time and/or part-time loan and decide to attend school part-time, you will be required to make payments on your full-time loan(s); however, payments on
your part-time loan(s) will be deferred until six months after studies have been completed and no interest will accrue during your in-study period and during the six months following the
month you cease to be a student
If you only received a full-time loan(s), you will be required to start making payments six months after your last confirmed period of studies end date.
PRIVACY NOTICE STATEMENT
Your personal information is collected under the authority of the CSFAA, the CSLA, and is subject to provisions of the Federal Privacy Act for the purpose of administering the Canada
Student Financial Assistance Program (CSFA Program).
The Social Insurance Number (SIN) is collected by the Minister of Employment and Social Development under the express authority of the CSFAA and in accordance with the Treasury
Board Secretariat Directive on Social Insurance Number. The SIN will be used for the administration of the CSFA Program under the CSFAA. The SIN will be used as a file identifier
and, along with the other information you provide, will also be used to validate your application, and to administer and enforce the CSFA Program.
Completion of this agreement is voluntary; however, failure to provide your personal information will result in not being considered for a Canada Student Loan.
For the purpose of the administration and/or enforcement of the CSFAA or the CSLA, the information collected on this form will be shared with provincial governments, financial
institutions and the NSLSC. It could also be shared with other federal government institutions, and any previous lender.
The information you provide may be used and/or disclosed for policy analysis, research and/or evaluation purposes. The information you provide may be disclosed to Statistics Canada
for statistical and research purposes. However, these additional uses and/or disclosures of your personal information will never result in an administrative decision being made about
you.
Your personal Information is administered in accordance with the CSFAA, the CSLA, and the Privacy Act. You have the right to, the protection of, and access to, your personal
information. It will be retained in Personal Information Bank ESDC PPU 030. Instructions for obtaining this information are outlined in the government publication entitled Info Source,
which is available at the following web site address: www.canada.ca/infosource-ESDC. Info Source may also be accessed on-line at any Service Canada Centre.
You have the right to file a complaint with the Privacy Commissioner of Canada regarding the institution's handling of your personal information at: www.priv.gc.ca/en/report-a-concern/.
ESDC SDE0003 (2021-07-FINAL) E
Page 6 of 6
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Form 2: 1 Emploi et Social Development Canada (Government of Canada)

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