QM Semester A - Intercollegiate Course Registration Form for QMUL Students SESSION 2018/19 QM Student number: Department/School: Level of study (please circle): UG PG First name: Family name: Date of birth: M F Gender (please circle): Status (please circle): Home Overseas Telephone number(s): Email: Intercollegiate Intercollegiate Intercollegiate Module Level Intercollegiate Examination / Institution Module Code Module (4, 5, 6 or 7) Module Title Coursework credits credits credits credits Please let us know the Queen Mary Module you would like removed from your current record and replaced with the above intercollegiate module selection. This must be an elective module of the same credit value. Module Level Queen Mary Queen Mary Module Queen Mary Examination / Module Title Code Module Code (4, 5, 6 or 7) Coursework Value credits credits credits credits
QM Semester A - Intercollegiate Course Registration Form for QMUL Students SESSION 2018/19 QM Student number: Department/School: Level of study (please circle): UG PG First name: Family name: Date of birth: Gender (please circle): M F Status (please circle): Home Overseas Telephone number(s): Email: Intercollegiate Institution Intercollegiate Module Code Intercollegiate Module Module Level (4, 5, 6 or 7) Intercollegiate Module Title Examination / Coursework credits credits credits credits Please let us know the Queen Mary Module you would like removed from your current record and replaced with the above intercollegiate module selection. This must be an elective module of the same credit value. Queen Mary Module Title Queen Mary Module Code Queen Mary Module Code Value Module Level (4, 5, 6 or 7) Examination / Coursework credits credits credits credits