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*First Name:
*Last Name:
*Student Number:
*Course Code:
*Course Name:
*Phone Number:
* Booking Date:
* Booking Time:

Please note:If you are unable to write at one of the above times, please contact us at

Please Note: If you require accommodations for testing, please contact the Accessibility Centre by e-mail ( or by phone (519-542-7751 ext 3393)

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