Canterbury Provisional Module Registration Form

Page 1

PROVISIONAL MODULE REGISTRATION FORM FOR JUNIOR YEAR ABROAD AND SEMESTER ABROAD STUDENTS This form should be completed in block letters and uploaded with your application.

Please tick the appropriate period and enter the relevant number of credits for each module selected Prefix:

Family Name: (Mr/Mrs/Miss/Ms)

*Module Code

*Module Title

Autumn term

No of Credits

Spring term

First Names: Date of Birth:

/ Day

/ Month

Year

BEFORE COMPLETING THE REMAINDER OF THE FORM, READ CAREFULLY THE NOTES FOR COMPLETION OVERLEAF

Alternatives:

*See the online module catalogue www.kent.ac.uk/courses/modules Please indicate with an asterisk those modules necessary for graduation at your home institution.

Major Subject at Home Institution (eg Biology): Name and Address of Home Institution:

Address for correspondence after 31 May:

Email address:

Signature of Student:

Date:

No of Credits


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