Updated March 2020
WITHDRAWAL NOTIFICATION 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
If you are dropping out of all your classes, submit this Withdrawal Notification Form to the Office of
the Registrar. Please remember to drop all non-credit courses you may be registered for. See the
posted Refund Schedule for refund and grade details. It will be your responsibility to cancel any
payments submitted with Student Financial Services at sfs@tyndale.ca or 416-226-6620 ext. 6735. If
you are exiting Tyndale and not registered for classes, please also fill out this form for statistical
purposes.
Name: _____________________________________
Undergraduate Seminary
Email: _____________________________________
Student ID: ______________________
Daytime Phone: _______________________________
Program of Study: _________________
*If your mailing address has changed, please update your address with our office.
Please check the semester(s) you are withdrawing from:
Both Fall 20___ AND Winter 20___ Only Fall 20____ Only Winter 20____
Dropping Courses: FALL Semester
Dropping Courses: WINTER Semester
Please check where you lived: Off Campus In Residence (Please contact Hospitality regarding room deposit.)
I am a recipient of:
OSAP
Bursary / Scholarship
Discount. Specify: _________________
Reason(s) for leaving: Academic Suspension Financial Moving
Change in Career Plans Work Personal
Program not offered here Health Other
Comments: _________________________________________________________________________________
___________________________________________________________________________________________
Intention to return at a later date: Yes No Date of return (if known): _______________________
Student Signature: ____________________________________ Date: ____________________
Signature from Student Financial Services (if dropping courses after Add/Drop
deadline)
Date
Registrar’s Signature
Date
Approval Signature (if required)
Date
Processed by
Date
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