POWER OF ATTORNEY
for Alberta Student Aid
POWER OF ATTORNEY FOR ALBERTA STUDENT AID Last Revised July 2020
This POWER OF ATTORNEY is given by me, _______________________________________________________________________________
of _______________________________________________________________________________.
1. Appointment: I appoint ________________________________________________________________________________________________
of _________________________________________________________________________________________________
as my lawful attorney to do anything on my behalf that I may lawfully do by an attorney in respect of all student
loans, grants and other nancial assistance (collectively the “Alberta Student Loans”) made available to me for
educational purposes by Her Majesty the Queen in right of Alberta as represented by the Minister of Advanced
Education (“Alberta Student Aid”), but excluding the signing and submission of any Application for Student
Financial Assistance to Student Aid Alberta and also excluding the signing and submission of any agreement
for Alberta Student Aid (i.e. Master Student Financial Assistance Agreement—Alberta prior to February 6, 2020
or an Alberta Student Aid Agreement on or after February 6, 2020).
2. Personal Information: I consent to the disclosure of my personal information by Alberta Student Aid to my Attorney for use in
relation to the exercise of my Attorney’s powers under this Power of Attorney.
3. Previous Power of Attorney: This Power of Attorney does not revoke any Power of Attorney that I have previously signed, except
that this Power of Attorney shall solely govern over any matters in respect of the Alberta Student Loans. Alberta Student Aid shall
be entitled to rely solely upon this Power of Attorney.
4. Termination: This Power of Attorney shall terminate on the earlier of:
(a) ve years after the date I have signed it, or
(b) upon Alberta Student Aid receiving written notice, together with such supporting documents as may be required by Alberta
Student Aid, of:
(i) my termination of this Power of Attorney,
(ii) my Attorney’s resignation, death, bankruptcy or mental incapacity or inrmity, or
(iii) my mental incapacity or inrmity.
I acknowledge that until this Power of Attorney is terminated in accordance with this section 4, all acts of my Attorney in accordance
with this Power of Attorney will be binding on me.
5. Representations and Warranties: I and my Attorney (by signing below) jointly and severally represent and warrant to Alberta
Student Aid that: (a) my Attorney and I are 18 years of age or older, and (b) my Attorney and I have the mental capacity to understand
the nature and effect of this Power of Attorney.
6. Indemnity: I and my Attorney (by signing below) jointly and severally indemnify and hold harmless Alberta Student Aid, and its directors,
ofcers, employees and agents, against any and all claims, losses, liabilities and expenses (including legal costs on a solicitor and client
basis) that Alberta Student Aid incurs in any way relating to its actions under, or in reliance upon, this Power of Attorney.
7. Acceptance: This Power of Attorney is subject to the acceptance and approval of Alberta Student Aid or its agents.
This Document has been signed and delivered by the Donor (Student) named in this Power of Attorney in the
presence of two Witnesses:
Signature of Donor (Student) giving the Power of Attorney
✗ SIGN HERE
Day Month Year
(in effect for ve years from the date of Donor’s signature unless earlier terminated in accordance with section 4)
Alberta Student Number (mandatory) (go to learnerregistry.ae.alberta.ca)
Signed by two Witnesses in the presence of the Donor (Student):
(For Witnessing Requirements, see “Who is the ‘Witness’?” on the instruction sheet attached to this form)
By signing below, each Witness confirms that they are eligible witnesses as described in the attached instruction sheet.
(Full legal name of the student, the “Donor”)
(Address)
(Full legal name of the attorney, the “Attorney”)
(Address)
Signature of First Witness
✗ SIGN HERE
Day Month Year
Print full legal name and address of First Witness
Signature of Second Witness
✗ SIGN HERE
Day Month Year
Print full legal name and address of Second Witness
By signing below, the Attorney does hereby give to Alberta By signing below, the Attorney does hereby give to Alberta Student
Aid the representations, warranties and indemnity
set out in paragraphs 5 and 6 above for good and valuableconsideration, the receipt of which is hereby acknowledged.
Signature of Attorney named in this Power of Attorney
(cannot sign on behalf of Donor (Student))
✗ SIGN HERE
Day Month Year
Print full legal name and address of the Attorney
Relationship of Attorney named in this Power of Attorney
to the Donor (Student)