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Complete all items in ink. Return this form with the non-refundable application fee and supporting materials to International Admissions at 3737 Wascana Parkway, Regina, SK S4S 0A2 or email to international.admissions@uregina.ca. Applications
 

Summary: Complete all items in ink. Return this form with the non-refundable application fee and supporting materials to International
Admissions at 3737 Wascana Parkway, Regina, SK S4S 0A2 or email to international.admissions@uregina.ca. Applications
will not be processed until application fees are submitted.
$100 Payable in Canadian funds to the University of Regina.
Payment method:
Visa or Master Card ____________________________________________________ _______________________________
Card Number Expiry Date (month/year)
Interact (in person only)
Money Order or Cheque (Canadian funds drawn on Canadian or U.S. banks only)
CIBC, Main Branch Account Number: 92-06310, Transit Number: 00008, Swift Code: CIBCCATT
1800 Hamilton St. Financial Institution Number: 010
Regina, SK S4P 4L3 (Student name must be included in the bank credit memo)
University of Regina Student Number (for returning students): ___________________________________________________________
Name: ____________________________________ _______________________________________ ___________________________________
Family Name First/Given Middle
Note: List your name as it appears on your passport
Gender: Male Female Date of Birth: _________________________
Day/Month/Year
First Language: ________________________________________
Are you a Canadian Citizen or Permanent Resident? Yes No Country of Citizenship: _________________________________

  

Source: Argerami, Martin - Department of Mathematics and Statistics, University of Regina

 

Collections: Mathematics