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Address While at School Date of Birth Number of Period of Study Commencement Period of Study End Date
Weeks of Date
Study
Year (YYYY) Month (MM) Day (DD) Year (YYYY) Month (MM) Year (YYYY) Month (MM)
Permanent Address
To Be Completed By Educational Institution - As required (1) by the CSFAA and CSFAR and (2) by the CSLA and CSLR for CSLs, this confirms that this
student is enrolled (select one) full-time or part-time (Refer to Instructions to Students on overleaf.) The student is registered at the above-named
institution at the post-secondary level for the period of study ending in the month shown above.
Name of Authorized Officer Title Telephone Number Date Signed
Do you intend to apply for a determination as a I have read and understood the Privacy Notice Statement
person with a permanent disability, or a persistent or included in this document.
prolonged disability? Amount Brought
Yes No
Forward from previous CAD .XX
Risk-Shared Loans
Student's Signature Date (YYYY-MM-DD)
Full Name, Address and Telephone Number of the Lender Mailing Address of the NSLSC
Permanent Address
To Be Completed By Educational Institution - As required (1) by the CSFAA and CSFAR and (2) by the CSLA and CSLR for CSLs, this confirms that this
student is enrolled ( select one) full-time or part-time (Refer to Instructions to Students on overleaf.) The student is registered at the above-named
institution at the post-secondary level for the period of study ending in the month shown above.
Name of Authorized Officer Title Telephone Number Date Signed
Do you intend to apply for a determination as a I have read and understood the Privacy Notice Statement
person with a permanent disability, or a persistent or included in this document.
prolonged disability? Amount Brought
Forward from previous CAD .XX
Yes No Risk-Shared Loans
Student's Signature Date (YYYY-MM-DD)
Full Name, Address and Telephone Number of the Lender Mailing Address of the NSLSC
Permanent Address
To Be Completed By Educational Institution - As required (1) by the CSFAA and CSFAR and (2) by the CSLA and CSLR for CSLs, this confirms that this
student is enrolled (select one) full-time or part-time (Refer to Instructions to Students on overleaf.) The student is registered at the above-named
institution at the post-secondary level for the period of study ending in the month shown above.
Name of Authorized Officer Title Telephone Number Date Signed
Do you intend to apply for a determination as a I have read and understood the Privacy Notice Statement
person with a permanent disability, or a persistent or included in this document.
prolonged disability? Amount Brought
Forward from previous CAD .XX
Yes No Risk-Shared Loans
Student's Signature Date (YYYY-MM-DD)
Full Name, Address and Telephone Number of the Lender Mailing Address of the NSLSC
Permanent Address
To Be Completed By Educational Institution - As required (1) by the CSFAA and CSFAR and (2) by the CSLA and CSLR for CSLs, this confirms that this
student is enrolled (select one) full-time or part-time (Refer to Instructions to Students on overleaf.) The student is registered at the above-named
institution at the post-secondary level for the period of study ending in the month shown above.
Name of Authorized Officer Title Telephone Number Date Signed
Early Withdrawal Notice / Change in Student Status - To Be Completed by Designated Educational Institution Loan Summary
First Day of Classes Date Student is now enrolled in less than 20% of a full-time course load
Amount Brought
(YYYY-MM-DD) Forward from previous CAD .XX
Risk-Shared Loans
Withdrew from Educational Institution
Transit Number
Permanent Address
To Be Completed By Educational Institution - As required (1) by the CSFAA and CSFAR and (2) by the CSLA and CSLR for CSLs, this confirms that this
student is enrolled (select one) full-time or part-time (Refer to Instructions to Students on overleaf.) The student is registered at the above-named
institution at the post-secondary level for the period of study ending in the month shown above.
Name of Authorized Officer Title Telephone Number Date Signed
Do you intend to apply for a determination as a I have read and understood the Privacy Notice Statement
person with a permanent disability, or a persistent or included in this document.
prolonged disability? Amount Brought
Forward from previous CAD .XX
Yes No Risk-Shared Loans
Student's Signature Date (YYYY-MM-DD)
Full Name, Address and Telephone Number of the Lender Mailing Address of the NSLSC
Important Notice
l All student loans negotiated on or after August 1, 2000 (Direct Loans) are administered by the NSLSC.
l All student loans negotiated prior to August 1, 2000 (Guaranteed or Risk-Shared Loans) are administered by the lending institution.
l If you have Direct Loans and Guaranteed or Risk-Shared loans, you should contact NSLSC first, concerning Confirmation of Enrolment.
l If you have loans negotiated prior to August 1, 2000, it is your responsibility to provide your lender with a valid Confirmation of Enrolment, in order to maintain your previous
loans in interest-free or in-study payment deferred status. Failure to do so will result in the loss of your interest-free or in-study payment deferred status and you may be
required to pay your previous lender any interest owing. Copy 22A of this document can be used for this purpose as long as it is provided to the lender holding the
previous loan, within 30 days of the confirmation date indicated on the schedule.
Instructions to Students
Step 1: Confirm Your Enrolment
Have the Educational Institution you plan to attend confirm your enrolment by completing and signing the Confirmation of Enrolment form.
It is important that you read and understand the Consent and Certification section of this form. You must provide your agreement/consent by signing the Consent and Certification
section of this form.
Step 3: Mail your document to the NSLSC and/or Lender
If you withdraw from studies early, your "Period of Study End Date" shown on this Confirmation of Enrolment will be adjusted to the month of withdrawal and your interest-free or in-
study payment deferred status will end on the last day of the month in which you withdraw. Contact the NSLSC and your lender immediately.
You must provide the NSLSC and any previous lender with a valid Confirmation of Enrolment to continue interest-free or in-study payment deferred status on full-time loans or part-time
loans in the following situations: (1) you have not applied for a new loan and/or grant; (2) you have applied but have been refused for a new loan and/or grant; or (3) you have applied
but have not yet received a new loan and/or grant and the academic year has already begun. Failure to do so as required by the CSFAR and CSLR will result in the loss of your
interest-free status and you may be required to pay interest owing or to pay principal and interest payments while in-study.
Ensure you retain Copy 4 of your Confirmation of Enrolment for your files.
Remember, if you have a full-time and/or part-time loan and decide to attend school part-time, you will be required to make payments on your full-time loan(s); however, payments on
your part-time loan(s) will be deferred until six months after studies have been completed and no interest will accrue during your in-study period and during the six months following the
month you cease to be a student
If you only received a full-time loan(s), you will be required to start making payments six months after your last confirmed period of studies end date.
PRIVACY NOTICE STATEMENT
Your personal information is collected under the authority of the CSFAA, the CSLA, and is subject to provisions of the Federal Privacy Act for the purpose of administering the Canada
Student Financial Assistance Program (CSFA Program).
The Social Insurance Number (SIN) is collected by the Minister of Employment and Social Development under the express authority of the CSFAA and in accordance with the Treasury
Board Secretariat Directive on Social Insurance Number. The SIN will be used for the administration of the CSFA Program under the CSFAA. The SIN will be used as a file identifier
and, along with the other information you provide, will also be used to validate your application, and to administer and enforce the CSFA Program.
Completion of this agreement is voluntary; however, failure to provide your personal information will result in not being considered for a Canada Student Loan.
For the purpose of the administration and/or enforcement of the CSFAA or the CSLA, the information collected on this form will be shared with provincial governments, financial
institutions and the NSLSC. It could also be shared with other federal government institutions, and any previous lender.
The information you provide may be used and/or disclosed for policy analysis, research and/or evaluation purposes. The information you provide may be disclosed to Statistics Canada
for statistical and research purposes. However, these additional uses and/or disclosures of your personal information will never result in an administrative decision being made about
you.
Your personal Information is administered in accordance with the CSFAA, the CSLA, and the Privacy Act. You have the right to, the protection of, and access to, your personal
information. It will be retained in Personal Information Bank ESDC PPU 030. Instructions for obtaining this information are outlined in the government publication entitled Info Source,
which is available at the following web site address: www.canada.ca/infosource-ESDC. Info Source may also be accessed on-line at any Service Canada Centre.
You have the right to file a complaint with the Privacy Commissioner of Canada regarding the institution's handling of your personal information at: www.priv.gc.ca/en/report-a-concern/.