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for Graduation Fall (October) Winter (January) Withdrawing from: (Saint Mary's University, Halifax)

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Withdrawal of Application
for Graduation
Graduation Information:
Withdrawing from: Spring (May)
Fall (October)
Winter (January)
Program(s) (e.g. Bachelor of Arts):
Student Information:
First Name(s): Last Name:
Student Number: A Email:
Telephone:
Graduation correspondence will be done by mail, email, or phone using information provided by you on Self Service
Banner. Please ensure your contact information is up to date on Self Service Banner.
Student Signature: Date:
You can email this form to the Service Centre at service.centre@smu.ca.
Office Use Only:
SGASTDN Notes:
Date Received: SHADEGR Updated: Initials:
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for Graduation Fall (October) Winter (January) Withdrawing from: (Saint Mary's University, Halifax)

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Completed 5 February 2021

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