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Part 1 Identify yourself (mandatory) Student Number: _______________________Queen's Email: ________________________________________
 

Summary: Part 1 Identify yourself (mandatory)
Student Number: _______________________Queen's Email: ________________________________________
Student Name: _______________________________________________________________________________
Last Name First Name Initial
Part 2 Change(s) to Pre-Authorized Payment Plan (For AWARD DEPOSIT go to Part 3)
The Pre-Authorized Payment Plan is automatically calculated at the beginning of each term. If there is an
addition/change to fees the remaining monthly payments must be re-calculated manually. Indicate the nature of
the change(s) for which fees are being adjusted:
Note: To setup Pre-Authorized Payment Plan for the first time, submit `Authorization to Deduct Fees from Chequing
Account'.
Late Registration
Include Late Registration Fee (if applicable)
Add:
Residence (Included in Fall & Winter terms only)
Meal Plan (Included in Fall & Winter terms only)
Status Change: (select all that apply)
Part-time Full-time Off-campus On-campus Inactive
Discontinue:
Fall Winter Spring/Summer
Reason: _______________________________________________________________________________

  

Source: Abolmaesumi, Purang - School of Computing, Queen's University (Kingston)

 

Collections: Computer Technologies and Information Sciences