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Open day event registration

Thank you for registering your details for our open day event on 5 February 2016. Once you have completed this form you will receive a registration reference code to your mobile and in the post.

Contact details

Title

First name

Surname

Address *

House name or number

Address line 1

Address line 2

City / Town

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Postcode

DOB

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About you

I'm currently in

I'm currently in Full-time education Part-time education Full-time employment Part-time employment Other

Programme of interest

Select your first programme of interest

Select your second programme of interest

Proposed year of entry

What is your level of proposed study

What is your level of proposed study Undergraduate Masters Post-graduate research

Have you previously studied at the University of Leeds?

Have you previously studied at the University of Leeds? Yes No

Current/most recent University

Current / most recent University

Requirements on the day

Please outline any accessibility requirements

Do you require disabled parking Yes No

How did you hear about our open day

Would you like to recieve other information from UOL Yes No

Thank you for taking the time to register we look forward to seeing you on the 5 February. In the mean time don’t forget to keep checking our open days website for more details.

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