Return compl
eted Request to:
Office of Registrarial Services
Enrolment Services
Guelph, Ontario N1G 2W1
Fax: 519-766-0143
Late and Re-instatement Fee Appeals Form
This form can be used for the following appeals:
Late Payment Fee (Must be made within 10 calendar days from the FIRST class day)
Re-instatement Fee (Must be made within 10 calendar days of re-instatement)
Incomplete Requests will not be considered for appeal.
Last Name:
First
Name:
ID Number:
Semester
Level:
Degree Program: Email address: @uoguelph.
ca
Local Telephone:
Permanent
Telephone:
Local Address:
Permanent
Mailing Address:
Appeal
for:
Late Payment Fee (Paid $ .00)
Re-instatement Fee (Paid $ .00)
Please indicate:
This is my FIRST semester at Guelph
I have registered in a previous semester at Guelph
I have completed my degree/diploma at Guelph
Appealing Fee paid in the semester. (i.e. Fall ’12)
I have previously appealed:
Late Payment Fee
Re-instatement Fee
Have you attached documentation?
Yes Documents will NOT be returned.
No
Page 1 of 2
What is the reason or circumstance surrounding this appeal request? (An explanation is required.)
(Attach a separate letter if necessary.)
Student
Signature:
Date:
For Office Use Only:
Date Received:
Last Semester Registered:
Billing Registration From Sent?
Submitted Course Selection?
Date Cheque was received?
Request: Granted Denied Partial Pending
Signature:
Date:
Page 2 of 2
click to sign
signature
click to edit
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