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Registration
Student OPUS form
Last name
*
2nd name
First name
*
2nd first name
Groupe number
*
Start date
*
Date of birth
*
DD slash MM slash YYYY
Cell (phone)
*
E-mail
*
Enter your email
confirm your email
Current address
Civic number
*
Street name
*
Apartment number
City
*
Province
*
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Zip code
*
Please tick the following boxes to be able to submit the form:
*
I certify that all of this information is correct.
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514-290-7711
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