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School of Environment and Technology

MODULE REGISTRATION FORM

2011/12
Full-time students please register your OPTIONAL modules.
Part-time and repeating students please register ALL of your modules.
Compulsory modules will be registered automatically for full-time students.
Your module registration should be visible through student central after enrolment.

____________________________________________________________________
Student number ....................

Full-time or Part-time

Surname ....................................

Other names .................................................................................

Course ............................................................. Level/Year of course ...........

Please write your optional modules if you are full-time or all of your modules if you are part-time in the
box below ensuring module codes and titles are correct.
SEMESTER

MODULE CODE

MODULE TITLE (as in the module handbook)

Student Signature .................................................................................................

Course Leader Signature .....................................................................................
Date .........................................................

Please return the signed form to the School Office (Cockcroft 228) by 23/10/11.