Page 1

Registering for modules in teaching periods 1-5 Please indicate per period the OSIRIS code and title of module. Deadline for registration will expire 3 weeks before commencement of the module!! Personal data First name

Student number

Surname

Birth date

Period 1 Don't register for this period

Register for: OSIRIS code: Title of module:

Within the programme: Medicine

Biomedical

Molecular Mechanisms

Sciences

of Disease

Students who participate in the BMS programme:

other, namely

please indicate your Major subject/Minor subject/Career profile

Fundamental Bachelor Module

Management Profile

Major Occupational and Environmental Health

Communication Profile

Major Clinical Human Movement Sciences

Research Profile

Major Epidemiology

Additional Programme Evidence Based Practice

Major Health Technology Assessment

Minor, namely……………………………..

Major Human Pathobiology

Free elective module

Major Toxicology Remarks: Period 2 Don't register for this period

Register for: OSIRIS code: Title of module:

Within the programme: Medicine

Biomedical

Molecular Mechanisms

Sciences

of Disease

Students who participate in the BMS programme:

other, namely

please indicate your Major subject/Minor subject/Career profile

Fundamental Bachelor Module

Management Profile

Major Occupational and Environmental Health

Communication Profile

Major Clinical Human Movement Sciences

Research Profile

Major Epidemiology

Additional Programme Evidence Based Practice

Major Health Technology Assessment

Minor, namely……………………………..

Major Human Pathobiology

Free elective module

Major Toxicology Remarks:

StIP (IWOO/OIO)

Registering_Modules_Periods1-5

1-9-2011


Period 3 Don't register for this period

Register for: OSIRIS code: Title of module:

Within the programme: Medicine

Biomedical

Molecular Mechanisms

Sciences

of Disease

Students who participate in the BMS programme:

other, namely

please indicate your Major subject/Minor subject/Career profile

Fundamental Bachelor Module

Management Profile

Major Occupational and Environmental Health

Communication Profile

Major Clinical Human Movement Sciences

Research Profile

Major Epidemiology

Additional Programme Evidence Based Practice

Major Health Technology Assessment

Minor, namely……………………………..

Major Human Pathobiology

Free elective module

Major Toxicology Remarks: Period 4 Don't register for this period

Register for: OSIRIS code: Title of module:

Within the programme: Medicine

Biomedical

Molecular Mechanisms

Sciences

of Disease

Students who participate in the BMS programme:

other, namely

please indicate your Major subject/Minor subject/Career profile

Fundamental Bachelor Module

Management Profile

Major Occupational and Environmental Health

Communication Profile

Major Clinical Human Movement Sciences

Research Profile

Major Epidemiology

Additional Programme Evidence Based Practice

Major Health Technology Assessment

Minor, namely……………………………..

Major Human Pathobiology

Free elective module

Major Toxicology Remarks: Period 5 Don't register for this period

Register for: OSIRIS code: Title of module:

Within the programme: Medicine

Biomedical

Molecular Mechanisms

Sciences

of Disease

Students who participate in the BMS programme:

other, namely

please indicate your Major subject/Minor subject/Career profile

Fundamental Bachelor Module

Management Profile

Major Occupational and Environmental Health

Communication Profile

Major Clinical Human Movement Sciences

Research Profile

Major Epidemiology

Additional Programme Evidence Based Practice

Major Health Technology Assessment

Minor, namely……………………………..

Major Human Pathobiology

Free elective module

Major Toxicology Remarks: Student signature

StIP (IWOO/OIO)

To complete by IWOO-OIO Initials SVA

Registering_Modules_Periods1-5

Initials OC

1-9-2011

Profile for Radboudumc

Registering modules periods1 5  

Registering modules periods1 5