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The applicant accepts an ISBP award. I understand that if I withdraw any consent it will affect the applicant s eligibility for and the amount of an ISBP award. information and my signature attests to my consent to the indirect collection use and disclosure of my personal Signature of spouse The personal information on this form is collected under the authority of the University of Western Ontario Act 1982 as amended. To view the complete Personal Information Collection Notice visit the...

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