Veterinary Postgraduate Unit STUDENT ENROLMENT AND REGISTRATION FORM Please complete this form in BLACK ink and in BLOCK CAPITALS Have you attended the University of Liverpool before? Yes No   If you have already completed one of these forms, please tick here  If yes, please give your Student Registration No: SECTION 1 ENROLMENT DETAILS – Please complete all sections Surname/ Title Family Name Full Forenames email Address Home address (NB: Postcode details essential) Postcode Daytime Tel: Mobile: Practice Name & Address SECTION 2 COURSE DETAILS – Module Start Date: Module Title: Other Where did you hear about the Vet IVIS UoL VPU IVIS Find Search (please Surgeon modules delivered by the Website Website Email CPD.com Engine state) .com University of Liverpool? SECTION 3 PERSONAL DETAILS – Every year the University will send some information we hold about you to HESA (“your HESA information”). HESA is the official agency for the collection, analysis and dissemination of quantitative information about higher education (HE) in the UK. Your HESA information is used for a variety of purposes by HESA and by third parties. Information provided to HESA is retained indefinitely for statistical research purposes. You can find out more at UK Date of Birth (dd/mm/yy) √ Is your residency status: EU Gender (Male/Female) √ NON-EU Nationality √
Veterinary Postgraduate Unit STUDENT ENROLMENT AND REGISTRATION FORM Please complete this form in BLACK ink and in BLOCK CAPITALS Have you attended the University of Liverpool before? Yes  No  If you have already completed one of these forms, please tick here  If yes, please give your Student Registration No: SECTION 1 – ENROLMENT DETAILS Please complete all sections Surname/ Family Name Title Full Forenames email Address Home address (NB: Postcode details essential) Postcode Daytime Tel: Mobile: Practice Name & Address SECTION 2 – COURSE DETAILS Module Start Date: Module Title: Where did you hear about the modules delivered by the University of Liverpool? UoL VPU Website IVIS Website IVIS Email Find CPD.com Vet Surgeon .com Search Engine Other (please state) SECTION 3 – PERSONAL DETAILS Every year the University will send some information we hold about you to HESA (“your HESA information”). HESA is the official agency for the collection, analysis and dissemination of quantitative information about higher education (HE) in the UK. Your HESA information is used for a variety of purposes by HESA and by third parties. Information provided to HESA is retained indefinitely for statistical research purposes. You can find out more at Date of Birth (dd/mm/yy) Is your residency status: UK √ Gender (Male/Female) EU √ Nationality NON-EU √