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MODULE AMENDMENT FORM

SECTION A

N.B. Sections A to D (inclusive) to be completed by Student

SURNAME

STUDENT NUMBER

FORENAME(S)
DEGREE PROGRAMME TITLE & CODE

STAGE

SCHOOL
SECTION B

SEMESTER ONE
Code No.

CURRENT MODULE SELECTION (Before Change)


SEMESTER TWO

Title

Weight

Code No.

Title

Weight

Total Weight:
SECTION C
Code No.

SECTION D

Total Weight:

MODULES TO BE DELETED FROM STUDENT RECORD


Semester
1 or 2

Title

Weight

MODULES TO BE ADDED TO STUDENT RECORD


Code No.

Semester
1 or 2

Title

Weight

REASON FOR CHANGE

Signature of Student ........................................................................................................

Date ........................................................................................

Signature of Tutor ............................................................................................................

Date ........................................................................................

Signature of Degree Programme Director ........................................................................

Date ........................................................................................

When completed, this form should be returned to your School Office.

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