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STUDENT DECLERATION FORM:

All students must read and note:

The Trafalgar Distance Learning Institute collects certain information under the Canadian Freedom of Information and Protection of Privacy act, and the Taxation Act. I understand that all documentation submitted in support of my application or any other documentation submitted for financial awards, or any other reason becomes the property of the Trafalgar Distance Learning Institute and will not be returned to me unless by special written request, and approved by our President and CEO. For more information regarding the collection and or use of student information and reporting policies of TDLI please contact us at TDLI, Office of the Registrar. 1 403 347 9019 or 1 888 686 6163. You may also email Ruth Eastman at rEastman1@MSN.com or Dr. Alan Eastman at Dr.Eastman@MSN.com

I certify that I have read and understand all the instructions and information accompanying this application form and all other forms that I may submit to TDLI now and in the future, and that all statements made in connection with this application are true and complete in all respects. I understand that misrepresentation, falsification of documents, assignments, or withholding vital information are serious academic offences which may result in the cancellation of my admission, default of my funds paid, and or graduation from the TDLI . If I am admitted, I agree to be bound by the rules and regulations in existence or as amended from time to time by TDLI, its Board of Governors, the President of the Board, and or the President and CEO of TDLI.

Student Signature:
_____________________________________

Date: ________________________________

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