EAP Student Information Card

Your Information
Name*
First Last
Student Number*
Current Living Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Date of Birth*
Date Format: MM slash DD slash YYYY
Are you a permanent resident/Canadian citizen?*
- Yes
- No
Study Permit*
- I have a study permit
- My study permit is under review
Study permit expiration day*
Date Format: MM slash DD slash YYYY
Emergency Contact
Emergency Contact Name*
First Last
Emergency Contact Phone*
Student ID Card Photo
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 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.
Upload Student ID Card Photo*
Accepted file types: jpeg, jpg.
The picture must be in JPEG format with a file size less than 4 MB.
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Brandon University