Université d’Ottawa | University of Ottawa
MODIFICATION / CANCELLATION OF REGISTRATION (GRADUATE STUDIES)
- DO NOT WRITE IN SHADED AREAS.
STUDENT IDENTIFICATION
SURNAME GIVEN NAMES STUDENT NUMBER
EMAIL ACADEMIC UNIT / DISCIPLINE
DIPLOMA MASTER’S PH.D.
THIS REQUEST APPLIES TO THE FOLLOWING SESSION: YEAR
FALL WINTER SPRING SUMMER
CURRENT DATA NEW DATA
ACADEMIC UNIT
DEGREE SOUGHT
(PROGRAM OF STUDIES)
FULL-TIME I WILL STUDY FULL-TIME.
DECLARATION: I AM AWARE THAT ANY ABSENCE FROM CAMPUS EXCEEDING FOUR WEEKS
REQUIRES PRIOR APPROVAL FROM MY ACADEMIC UNIT AND MY THESIS SUPERVISOR.
CLASSIFICATION
PART-TIME I WILL STUDY PART-TIME.
CAMPUS
COURSES TO BE DROPPED COURSES TO BE ADDED
N.B: REGISTRATION IN COURSES IS NOT OFFICIAL UNTIL APPROVED BY THE GRADUATE STUDIES OFFICE OF YOUR FACULTY
COURSE CODE SECTION ATTENDANCE COURSE CODE SECTION ATTENDANCE
ALPHA NUMERICAL FOR ACADEMIC UNIT USE ONLY ALPHA NUMERICAL FOR ACADEMIC UNIT USE ONLY
8 9 8 9
1 2 3 4 5 6 7 1 2 3 4 5 6 7
CRE = COURSE FOR CREDIT AUD = AUDITOR
I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND COMPLETE AND I AM AWARE
THAT THE RIGHT TO A REFUND IS GOVERNED BY GRADUATE REGULATIONS.
DATE SIGNATURE (STUDENT)
WITHDRAWAL FROM PROGRAM
VOLUNTARY ILLNESS FINANCIAL DIFFICULTIES CHANGE OF DIRECTION PERSONAL REASONS
WITHDRAWAL EFFECTIVE ON AT REQUEST OF THE ACADEMIC UNIT AT REQUEST OF THE UNIVERSITY
YEAR MONTH DAY
INTERRUPTION OF STUDIES
PLEASE CONSULT THE REGISTRATION REQUIREMENTS SECTION OF THE GENERAL REGULATIONS OF THE FACULTY OF GRADUATE AND POSTDOCTORAL STUDIES.
FOR ADMINISTRATIVE USE ONLY
APPROVAL OF THE
ACADEMIC UNIT NAME (PRINT) DATE SIGNATURE
APPROVAL OF THE GRADUATE
STUDIES OFFICE
NAME (PRINT) DATE SIGNATURE
ESUP-5227(E) PDF 2015/07
Faculty of Graduate and Postdoctoral Studies
[email protected] | 613-562-5742
115 Seraphin Marion Ottawa ON K1N 6N5