Change of Module Form - DCU Study Abroad Programme

STUDENT NAME

Please enter your First Name and your Surname

STUDENT ID NUMBER

Please enter your 8 digit ID number

Student DCU Email address

Enter the DCU email allocated to you

STUDY ABROAD STREAM

Please enter your study stream eg. HMSAO, SHSAO, BSSAO, ECSAO, IESAO or PBSSAO

STUDY PERIOD

Enter Academic Year eg 2017/18 and enter Semester One, Two or Year Long as appropriate

DELETE MODULE 1

Please Enter Module Code and Module Name for deletion - up to three only. (A new form may be submitted for additional deletions).\n

DELETE MODULE 2

DELETE MODULE 3

MODULE 1 TO BE ADDED

Please Enter Module Code and Module Name to be added - up to three only. (A new form may be submitted for additional choices).

MODULE 2 TO BE ADDED

MODULE 3 TO BE ADDED

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