www.yorkvilleu.ca

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Students who have been admitted to one of Yorkville University’s programs and have submitted a tuition deposit may be eligible for a refund of all but $500 CAD of their deposit.

For the University to process this refund, you must provide the following information:

• Full Name of Student:

• Student ID# at Yorkville University:

• Date of Birth:

• Country of Citizenship:

• Educational Agent’s Name: (if applicable) • Full Amount of Deposit in $CAD:

• Yorkville University program forwhich the student was admitted:

Reason for Requesting Refund: a. My study permit to enter Canada as a student was refused.b. I am currently enrolled in another ISP designated (approved) institu-tion in Canada.c. Other

I recognize that Yorkville University has reporting obligations to Immi-gration, Refugees and Citizenship Canada (IRCC) and that the University is obligated to report the names of international students who are currently enrolled at Yorkville University. I allow Yorkville University to disclose that I am NOT attending their university and accept the ramifica-tions of this disclosure in terms of my immigration status in Canada.

Please acknowledge the following statement:Initial

Tuition Deposit RefundRequest Form

www.yorkvilleu.ca

Tuition Deposit RefundRequest Form

All the statements made above are true statements to the best of my knowledge.

Please acknowledge the following statement:

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Along with this form, you are to submit the following documents:

a. Proof that your study permit application to Canada was refused; or

b. Proof of enrolment in another Canadian institution. Please include the DLI # of that institution. (An admission letter is insufficient for these purposes; a registration letter orconfirmation of enrolment letter is requested.); or

c. An acknowledgement of the following statement: I have decided to defer my study and am not entering Canada to attend any school or for any other reason. I give consent for Yorkville University to notify the IRCC that I am not planning to enter Canada with a study permit and have notified the university that I will not be using any acceptance letters for any programs at Yorkville University in order to gain entry to Canada.

Signature,

Signature,

Tuition deposits will be returned to the original sender of the deposit wherever possible and only to the country from which the deposit was initially sent.

Note: