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Summary: QUEEN'S UNIVERSITY AT KINGSTON
STUDENT REPORT OF EXAMINATION TIMETABLE CONFLICT
Name:_____________________________________________________ Student No: ________________________
Queen's Email Address: __________________________________________________________________________
The personal information on this form is collected under the authority of the Royal Charter of 1841, as amended. The information
collected will be used by the Office of the University Registrar to process your request as identified on this form. For more
information, please contact the Office of the University Registrar, Faculty Services, Queen's University, Gordon Hall Room 110
Telephone: (613) 533-2101
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