KEMBAR78
Sde0003 en | PDF | Loans | Credit Bureau
0% found this document useful (0 votes)
69 views6 pages

Sde0003 en

This document is a confirmation of enrollment form for Canada's Student Financial Assistance Program. It contains information about the student such as their name, address, dates of study, program of study, and educational institution. The form requires signatures from the student and an authorized official of the educational institution to confirm the student's enrollment. It also contains a loan summary section to track amounts from previous student loans. The student consents to the disclosure of information related to their student loans for administration and enforcement purposes.

Uploaded by

stgraco
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
69 views6 pages

Sde0003 en

This document is a confirmation of enrollment form for Canada's Student Financial Assistance Program. It contains information about the student such as their name, address, dates of study, program of study, and educational institution. The form requires signatures from the student and an authorized official of the educational institution to confirm the student's enrollment. It also contains a loan summary section to track amounts from previous student loans. The student consents to the disclosure of information related to their student loans for administration and enforcement purposes.

Uploaded by

stgraco
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 6

Employment and Emploi et PROTECTED B WHEN COMPLETED

Social Development Canada Développement social Canada


NOTE TO STUDENTS: Present this form to the NSLSC or your previous
Lender at the beginning of your school year.

CANADA STUDENT FINANCIAL ASSISTANCE PROGRAM IMPORTANT NOTICE - READ OVERLEAF


CONFIRMATION OF ENROLMENT
SCHEDULE 2 Province / Territory Social Insurance Number (SIN)

(Version française disponible sur demande)


21
Confirmation of Enrolment - To Be Completed By The Student and Educational Institution

Family Name of Student Given Names of Student

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)

NOT VALID AFTER


Institution Code THIS DATE

Primary Telephone Number


Program of Study Code

Permanent Address

Secondary Telephone Number Email Address of Student

Name and Address of Educational Institution

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

Year (YYYY) Month (MM) Day (DD)

Confirmation of enrolment valid for only


30 days from this date – VOID after the
Signature of Authorized Officer of the Educational Institution period of study end date.

Consent and Certification - To Be Completed By The Student Loan Summary


I certify that all the information on this document is correct as of the date indicated below. I certify that I have read and I understand the "Instructions to
Year Month Day
Students" overleaf and agree to comply with them. (YYYY) (MM) (DD)
I authorize my previous lender, if any, the NSLSC, and the Government of Canada to disclose to and obtain from any other consumer credit grantors, Effective Date of
credit bureaus or credit reporting agencies all particulars and information relating to my CSLs. I authorize any educational institution I have attended, Transaction
any appropriate authority, or any employer, to release to the lender or the NSLSC or to the federal government or its agents, whatever information they
need to locate me.
I authorize the federal government, appropriate authority, educational institution, the NSLSC, the CALSC, and any previous lender to collect, use and
disclose data and information related to any of my CSLs and/or CALs that I may have for the purposes of carrying out their duties under, and the
administration and enforcement of the CSFA Program. Amount Brought Forward
If I have entered into any CSL agreements while a minor, I hereby ratify those agreements. I further acknowledge that I am indebted to Canada for the from previous CAD .XX
amounts of financial assistance previously provided. Guaranteed Loans

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

National Student Loans


Service Centre Transit Number
P.O. Box 4030
Mississauga, Ontario L5A 4M4

COPY 1 - NSLSC OR LENDER COPY 4 - To be given to student


COPY 3 - To be retained by the Educational Institution (and if there is an Early Withdrawal or change in student status, it will be completed and returned to the NSLSC)
COPY 2 - To be sent to CSFA Program by Lender, for Full-Time Guaranteed/Risk-Shared Loans
COPY 22A - To be given to student by NSLSC to provide previous Lender With Confirmation of Enrolment
COPY 1 - To be retained by the NSLSC or Lender

ESDC SDE0003 (2022-07-FINAL) E Page 1 of 6


Employment and Emploi et PROTECTED B WHEN COMPLETED
Social Development Canada Développement social Canada
NOTE TO STUDENTS: Present this form to the NSLSC or your previous
Lender at the beginning of your school year.

CANADA STUDENT FINANCIAL ASSISTANCE PROGRAM IMPORTANT NOTICE - READ OVERLEAF


CONFIRMATION OF ENROLMENT
SCHEDULE 2 Province / Territory
22 Social Insurance Number (SIN)

(Version française disponible sur demande) A


Confirmation of Enrolment - To Be Completed By The Student and Educational Institution

Family Name of Student Given Names of Student

Date of Birth Period of Study Commencement


Address While at School Number of Date Period of Study End Date
Weeks of
Year (YYYY) Month (MM) Day (DD) Study Year (YYYY) Month (MM) Year (YYYY) Month (MM)

NOT VALID AFTER


Institution Code
THIS DATE

Primary Telephone Number


Program of Study Code

Permanent Address

Secondary Telephone Number Email Address of Student

Name and Address of Educational Institution

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

Year (YYYY) Month (MM) Day (DD)

Confirmation of enrolment valid for only


30 days from this date – VOID after the
Signature of Authorized Officer of the Educational Institution period of study end date.

Consent and Certification - To Be Completed By The Student Loan Summary


I certify that all the information on this document is correct as of the date indicated below. I certify that I have read and I understand the "Instructions to
Year Month Day
Students" overleaf and agree to comply with them. (YYYY) (MM) (DD)
I authorize my previous lender, if any, the NSLSC, and the Government of Canada to disclose to and obtain from any other consumer credit grantors, Effective Date of
credit bureaus or credit reporting agencies all particulars and information relating to my CSLs. I authorize any educational institution I have attended, Transaction
any appropriate authority, or any employer, to release to the lender or the NSLSC or to the federal government or its agents, whatever information they
need to locate me.
I authorize the federal government, appropriate authority, educational institution, the NSLSC, the CALSC, and any previous lender to collect, use and
disclose data and information related to any of my CSLs and/or CALs that I may have for the purposes of carrying out their duties under, and the
Amount Brought Forward
administration and enforcement of the CSFA Program.
If I have entered into any CSL agreements while a minor, I hereby ratify those agreements. I further acknowledge that I am indebted to Canada for the
from previous CAD .XX
Guaranteed Loans
amounts of financial assistance previously provided.

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

National Student Loans


Service Centre Transit Number
P.O. Box 4030
Mississauga, Ontario L5A 4M4

COPY 22A - STUDENT COPY 4 - To be given to student


COPY 3 - To be retained by the Educational Institution (and if there is an Early Withdrawal or change in student status, it will be completed and returned to the NSLSC)
COPY 2 - To be sent to CSFA Program by Lender, for Full-Time Guaranteed/Risk-Shared Loans
COPY 22A - To be given to student by NSLSC to provide previous Lender With Confirmation of Enrolment
COPY 1 - To be retained by the NSLSC or Lender

ESDC SDE0003 (2022-07-FINAL) E Page 2 of 6


Employment and Emploi et PROTECTED B WHEN COMPLETED
Social Development Canada Développement social Canada
NOTE TO STUDENTS: Present this form to the NSLSC or your previous
Lender at the beginning of your school year.

CANADA STUDENT FINANCIAL ASSISTANCE PROGRAM IMPORTANT NOTICE - READ OVERLEAF


CONFIRMATION OF ENROLMENT
SCHEDULE 2 Province / Territory Social Insurance Number (SIN)

(Version française disponible sur demande)


22
Confirmation of Enrolment - To Be Completed By The Student and Educational Institution

Family Name of Student Given Names of Student

Address While at School Date of Birth Number of Period of Study Commencement


Date Period of Study End Date
Weeks of
Study
Year (YYYY) Month (MM) Day (DD) Year (YYYY) Month (MM) Year (YYYY) Month (MM)

NOT VALID AFTER


Institution Code THIS DATE

Primary Telephone Number


Program of Study Code

Permanent Address

Secondary Telephone Number Email Address of Student

Name and Address of Educational Institution

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

Year (YYYY) Month (MM) Day (DD)

Confirmation of enrolment valid for only


30 days from this date – VOID after the
Signature of Authorized Officer of the Educational Institution period of study end date.

Consent and Certification - To Be Completed By The Student Loan Summary


I certify that all the information on this document is correct as of the date indicated below. I certify that I have read and I understand the "Instructions to
Year Month Day
Students" overleaf and agree to comply with them. (YYYY) (MM) (DD)
I authorize my previous lender, if any, the NSLSC, and the Government of Canada to disclose to and obtain from any other consumer credit grantors, Effective Date of
credit bureaus or credit reporting agencies all particulars and information relating to my CSLs. I authorize any educational institution I have attended, Transaction
any appropriate authority, or any employer, to release to the lender or the NSLSC or to the federal government or its agents, whatever information they
need to locate me.
I authorize the federal government, appropriate authority, educational institution, the NSLSC, the CALSC, and any previous lender to collect, use and
disclose data and information related to any of my CSLs and/or CALs that I may have for the purposes of carrying out their duties under, and the Amount Brought Forward
administration and enforcement of the CSFA Program.
If I have entered into any CSL agreements while a minor, I hereby ratify those agreements. I further acknowledge that I am indebted to Canada for the
from previous CAD .XX
Guaranteed Loans
amounts of financial assistance previously provided.

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

National Student Loans


Service Centre Transit Number
P.O. Box 4030
Mississauga, Ontario L5A 4M4

COPY 2 - CSFA Program COPY 4 - To be given to student


COPY 3 - To be retained by the Educational Institution (and if there is an Early Withdrawal or change in student status, it will be completed and returned to the NSLSC)
COPY 2 - To be sent to CSFA Program by Lender, for Full-Time Guaranteed/Risk-Shared Loans
COPY 22A - To be given to student by NSLSC to provide previous Lender With Confirmation of Enrolment
COPY 1 - To be retained by the NSLSC or Lender

ESDC SDE0003 (2022-07-FINAL) E Page 3 of 6


Employment and Emploi et PROTECTED B WHEN COMPLETED
Social Development Canada Développement social Canada
NOTE TO STUDENTS: Present this form to the NSLSC or your previous
Lender at the beginning of your school year.

CANADA STUDENT FINANCIAL ASSISTANCE PROGRAM IMPORTANT NOTICE - READ OVERLEAF


CONFIRMATION OF ENROLMENT
SCHEDULE 2 Province / Territory Social Insurance Number (SIN)

(Version française disponible sur demande)


23
Confirmation of Enrolment - To Be Completed By The Student and Educational Institution

Family Name of Student Given Names of Student

Date of Birth Period of Study Commencement


Address While at School Number of Period of Study End Date
Date
Weeks of
Year (YYYY) Month (MM) Day (DD) Study Year (YYYY) Month (MM) Year (YYYY) Month (MM)

NOT VALID AFTER


Institution Code THIS DATE

Primary Telephone Number


Program of Study Code

Permanent Address

Secondary Telephone Number Email Address of Student

Name and Address of Educational Institution

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

Year (YYYY) Month (MM) Day (DD)

Confirmation of enrolment valid for only


30 days from this date – VOID after the
period of study end date.
Signature of Authorized Officer of the Educational Institution

Early Withdrawal Notice / Change in Student Status - To Be Completed by Designated Educational Institution Loan Summary

Note To Educational Institution Year Month Day


(YYYY) (MM) (DD)
Effective Date of
If this student's status changes before the Period of Study End Date indicated above, complete and send this form to: Transaction

National Student Loans Service Centre


P.O. Box 4030
Mississauga, Ontario L5A 4M4 Amount Brought Forward
Student is now enrolled in less than 60% of a full course load from previous CAD .XX
(less than 40% for borrowers with a permanent disability, or a Guaranteed Loans
persistent or prolonged disability)

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

Change in Student Status Date Early Completion


(YYYY-MM-DD)

Transit Number

Signature of Authorized Officer of the Educational Institution Date (YYYY-MM-DD)

COPY 3 - EDUCATIONAL COPY 4 - To be given to student


INSTITUTION COPY 3 - To be retained by the Educational Institution (and if there is an Early Withdrawal or change in student status, it will be completed and returned to the NSLSC)
COPY 2 - To be sent to CSFA Program by Lender, for Full-Time Guaranteed/Risk-Shared Loans
COPY 22A - To be given to student by NSLSC to provide previous Lender With Confirmation of Enrolment
COPY 1 - To be retained by the NSLSC or Lender

ESDC SDE0003 (2022-07-FINAL) E Page 4 of 6


Employment and Emploi et PROTECTED B WHEN COMPLETED
Social Development Canada Développement social Canada
NOTE TO STUDENTS: Present this form to the NSLSC or your previous
Lender at the beginning of your school year.

CANADA STUDENT FINANCIAL ASSISTANCE PROGRAM IMPORTANT NOTICE - READ OVERLEAF


CONFIRMATION OF ENROLMENT
SCHEDULE 2 Province / Territory Social Insurance Number (SIN)

(Version française disponible sur demande)


24
Confirmation of Enrolment - To Be Completed By The Student and Educational Institution

Family Name of Student Given Names of Student

Date of Birth Period of Study Commencement


Address While at School Number of Date Period of Study End Date
Weeks of
Year (YYYY) Month (MM) Day (DD) Study Year (YYYY) Month (MM) Year (YYYY) Month (MM)

NOT VALID AFTER


Institution Code
THIS DATE

Primary Telephone Number


Program of Study Code

Permanent Address

Secondary Telephone Number Email Address of Student

Name and Address of Educational Institution

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

Year (YYYY) Month (MM) Day (DD)

Confirmation of enrolment valid for only


30 days from this date – VOID after the
Signature of Authorized Officer of the Educational Institution period of study end date.

Consent and Certification - To Be Completed By The Student Loan Summary


I certify that all the information on this document is correct as of the date indicated below. I certify that I have read and I understand the "Instructions to
Year Month Day
Students" overleaf and agree to comply with them. (YYYY) (MM) (DD)
I authorize my previous lender, if any, the NSLSC, and the Government of Canada to disclose to and obtain from any other consumer credit grantors, Effective Date of
credit bureaus or credit reporting agencies all particulars and information relating to my CSLs. I authorize any educational institution I have attended, Transaction
any appropriate authority, or any employer, to release to the lender or the NSLSC or to the federal government or its agents, whatever information they
need to locate me.
I authorize the federal government, appropriate authority, educational institution, the NSLSC, the CALSC, and any previous lender to collect, use and
disclose data and information related to any of my CSLs and/or CALs that I may have for the purposes of carrying out their duties under, and the Amount Brought Forward
administration and enforcement of the CSFA Program.
If I have entered into any CSL agreements while a minor, I hereby ratify those agreements. I further acknowledge that I am indebted to Canada for the
from previous CAD .XX
Guaranteed Loans
amounts of financial assistance previously provided.

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

National Student Loans


Service Centre Transit Number
P.O. Box 4030
Mississauga, Ontario L5A 4M4

COPY 4 - STUDENT COPY 4 - To be given to student


COPY 3 - To be retained by the Educational Institution (and if there is an Early Withdrawal or change in student status, it will be completed and returned to the NSLSC)
COPY 2 - To be sent to CSFA Program by Lender, for Full-Time Guaranteed/Risk-Shared Loans
COPY 22A - To be given to student by NSLSC to provide previous Lender With Confirmation of Enrolment
COPY 1 - To be retained by the NSLSC or Lender

ESDC SDE0003 (2022-07-FINAL) E Page 5 of 6


ABBREVIATIONS: CSFAA Canada Student Financial Assistance Act CSL Canada Student Loan
CSFAR Canada Student Financial Assistance Regulations CSFA Program Canada Student Financial Assistance Program
CSLA Canada Student Loans Act CSLR Canada Student Loans Regulations
NSLSC National Student Loans Service Centre CAL Canada Apprentice Loan
CALSC Canada Apprentice Loan Service Centre
* In this schedule, educational institution means:
(i) in respect of your previous CSLs, a "specified educational institution" as defined by the CSLA

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.

Step 2: Sign and Date your 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

Mail your completed Confirmation of Enrolment document directly to:

National Student Loans Service Centre


P.O. Box 4030
Mississauga, Ontario L5A 4M4
Please be sure to submit your Confirmation of Enrolment form before the end of your Period of Study.

Withdrawing early from your Studies?

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.

Keep your student loans up-to-date

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/.

ESDC SDE0003 (2022-07-FINAL) E Page 6 of 6

You might also like