Course Acceptance Form

(Please complete in BLOCK CAPITALS and black pen)

Student Name:

Student ID No:

Address:

Post Code:

Course Name:

Month & Year of Entry i.e. Sept 2018:

I accept the conditional/unconditional place

I do not accept the conditional/unconditional place

Signature: Date:

You will be required to provide certified copies or produce your original certificates prior to
enrolment.

Please sign and return this form to:

Admissions & Enrolment Team

Southampton Solent University
East Park Terrace
Southampton
SO14 0YN
 023 82 015066 E-mail: admissions@solent.ac.uk