Student ID Order Form

Are you making this order to replace a card that has been lost, stolen, or damaged?
- Yes
- No
Please do not use this form to order replacement cards that may have been lost or stolen. Replacement cards must be ordered in person at the Ancillary Services office, located on the main floor of McMaster Hall. Fee for replacement cards must be paid in person at the time of in person order using cash, debit or credit.

Review Your Information
Student Number: {Student Number:5}
Name: {Name (First):1.3} {Name (Last):1.6}
Address:
{Address (Street Address):2.1}
{Address (Address Line 2):2.2}
{Address (City):2.3}, {Address (State / Province):2.4}, {Address (Country):2.6} {Address (ZIP / Postal Code):2.5}
Phone: {Phone:4}
Email: {Email:3}
Degree Category: {Degree Category:6}
Campus Attending: {Campus Attending:7}
Will you be living on campus during the 2024/25 academic year?: {Will you be living on campus during the 2023/24 academic year?:9}
Card Pick Up*
- Brandon Campus Student
- Psych Nursing Winnipeg Campus Student
Brandon Campus Students

If you are 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 be ready for pickup 2 business 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.
Psych Nursing 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 Campus, 602-491 Portage, Avenue, Winnipeg, Manitoba (6th Floor - Rice Centre)
- 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.
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)
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Brandon University

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