OFFICE OF GRADUATE STUDIES
Student Name:
Student ID Number: Program:
Department/School:
(e.g. MA.HIST)
LATE FEE & REINSTATEMENT FEE APPEAL FORM
This form must be completed and returned to Office of Graduate Studies within 10 days of notification of charges.
I am appealing:
Late Fee
Reinstatement Fee
Other
For:
Fall
Winter
Summer
Address:
City: Province: Postal Code:
U of G E-mail:
Phone Number
Check applicable statement(s):
I hold a degree from Guelph
I have been registered in at least
one previous semester at Guelph
I have previously appealed:
Late Fee
Reinstatement Fee
Other (please specify)
Grounds for Appeal:
Documentation Attached? Documents will not be returned so please keep copies for your records.
Protection of Privacy: We are committed to protecting your privacy. Personal information is collected under the authority of the University of Guelph Act and pursuant to the
Freedom of Information and Protection of Privacy Act (FIPPA). If you have questions about the use and disclosure of your personal information, call the Office of Graduate
Studies at (519) 824-4120 ext. 56833 or review our website at http://www.uoguelph.ca/graduatestudies/. For further information about access to information and protection
of privacy at the University of Guelph, go to: http://www.uoguelph.ca/secretariat/privacy.php.
OFFICE OF GRADUATE STUDIES:
Date Received: Last Semester Registered:
Semester Level: Submitted Course Selection:
Date Payment Received:
Request:
Granted Denied Partial_____% Pending
Signature: Date:
Date:
Year
Year
Year
Student Signature:
click to sign
signature
click to edit
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