Updated February 2020
RELEASE OF STUDENT INFORMATION FORM
Office of the Registrar
3377 Bayview Avenue, Toronto, ON, M2M 3S4
Tel: 416.226.6620 ext. 6711 Fax: 416.226.4210
Email: registration@tyndale.ca Webpage: www.tyndale.ca/registrar
Tyndale University keeps student information private in accordance with the Freedom of Information and
Protection of Privacy Act. If you would like information from your student file to be released from the
Office of the Registrar, please fill out the consent form below.
I, _____________________________________________
Full Name
(_______________________ ; _______________________)
Student Number Date-of-Birth (m/d/y)
hereby authorize the Office of the Registrar at Tyndale University
to release a copy of the following document(s) from my file:
_______________________________________________________
(specify each document)
_______________________________________________________
(specify each document)
I will pick up the copy of my document(s) from the Office of the Registrar when it is ready.
I can be notified at ____________________________________.
(email and/or phone number)
STUDENT’S SIGNATURE: ______________________________ Date: ______________________
OFFICE OF THE REGISTRAR’S USE ONLY:
