Student ID Order Form

Is this a replacement card?
I.e., you’ve been issued a card but it is lost or stolen.
- Yes
- No

Name*
First Last
Brandon University Student Number*
Accept Replacement Charge*
- I agree and accept the replacement charge of $32.00. This charge will be added to your student account.
Address*
Shipping Address Additional Address Information (optional) City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Consent*
I certify that I am the named student on this request and am ordering this card for myself only and not on behalf of a third party.

I.D. card photo example.
Requirements for Student I.D. Card Photos
- • Photo must be current (taken within the last 3 months)
- • Photo must be in color
- • Photo should have a uniform light-colored background (a white background is preferable)
- • Front view of student’s face – head and shoulders only. The photo must show a full head without any head coverings unless it is worn for religious for medical reasons.
- • No sunglasses or hats.
- • The picture must be JPEG format with a file size less than 4 MB.
Please note that we reserve the right to refuse any unacceptable photos. If the photo is deemed unusable, we will contact you to submit an appropriate photograph. All photos will be digitally stored for University use only. (ie. Student ID card, HLC membership)
Upload Photo*
The picture must be in JPEG format with a file size less than 4 MB.
Accepted file types: jpeg, jpg, Max. file size: 4 MB.

Review Your Information
Student Number: {Student Number:5}{Student Number:20}
Name: {Name (First):1.3} {Name (Last):1.6}{Name (First):26.3} {Name (Last):26.6}
Address:
{Address (Street Address):2.1}{Address (Street Address):23.1}
{Address (Address Line 2):2.2}
{Address (Address Line 2):23.2}
{Address (City):2.3}{Address (City):23.3}, {Address (State / Province):2.4}{Address (State / Province):23.4}, {Address (Country):2.6}{Address (Country):23.6} {Address (ZIP / Postal Code):2.5}{Address (ZIP / Postal Code):23.5}
Phone: {Phone:4}{Phone:25}
Email: {Email:3}{Email:27}
Accept Replacement Charge: {Accept Replacement Charge:22.1}
Consent: {Consent (Text):24.2}
Degree Category: {Degree Category:6}
Campus Attending: {Campus Attending:7}
Will you be living on campus during the 2022/23 academic year?: {Will you be living on campus during the 2021/22 academic year?:9}
Card Pick Up*
- Brandon Campus Student
- Winnipeg Campus Student
Brandon Campus Students

If you are a living in residence, your ID card will be ready and waiting for you at the time of your residence check in.

If you are not living in residence:
- Your card will take 2 days from time of order. Please do not attempt early pick ups. Cards will be held for pick up for 6 months.
- Location – Ancillary Services Office, located on the main floor of McMaster Hall, 270 18th Street, Brandon, Manitoba
- Times – Monday to Friday, 9:00 am – 4:00 pm
- Requirements – Must show government issued ID match the Student Card at the time of pick up.
Winnipeg Campus Students
- Your card will take 14 days from time of order. Please do not attempt early pick ups. Cards will be held to pick up for 6 months.
- Location – Faculty of Health Studies, Winnipeg Site, B105-491 Portage, Avenue, Winnipeg, Manitoba
- Requirements – Email bymanc@brandonu.ca after 14 days to coordinate your pick up. Must show government issued ID match the Student Card at the time of pick up.
For replacement cards, please email Ancillary@brandonu.ca to coordinate and schedule a pick up time. Turnaround times may vary on replacement cards.
Pickup Notice
Due to campus access now being restricted without a card, we will need students to call our office to arrange for pickup times. Please call 204-727-7394 or 204-571-7852.
Digital Signature*
I certify that the information given by me is correct. In accepting the card and the associated facilities that I have requested, I agree to observe the conditions of use. I understand that the card is not transferable. I give my permission for the data provided on this student I.D. application form to be used for administrative purposes within Brandon University. I understand that photos will be digitally stored for University use only. (ie. Student ID card, HLC membership)
I agree to the above terms and conditions (checking this box constitutes digital signature)
CAPTCHA
Comments
This field is for validation purposes and should be left unchanged.

Brandon University

Step 1 of 5 - Type of Card

Review Your Information

Ancillary Services

Contact Us