faculty of arts
board of examiners for
modern foreign languages
and regional studies
Request form for admission to a course unit (3.05)
Section 1 (to be completed by the student)
Mr/Ms:...........................................................................................................................
Degree programme: ……………………………………….................................................
Address: ........................................................................................................................
Postcode: .........................................................................
Town/city: ...................................................................................................................
Student number: ........................................................
Telephone: ......................................................................
E-mail: .............................................
Date of request: ...................................................................................
The undersigned hereby requests admission to the following course unit:
Major
Minor
Subsidiary
Course unit code
Course unit name
Lecturer(s)
Number of ECTS
credit points
Faculty
University
Reasons for request:
1›3
Pages 1 and 2 to be completed by the student
faculty of arts
board of examiners for
modern foreign languages
and regional studies
Section 2 (to be completed by the Board of Examiners)
On behalf of the Board of Examiners for Modern Foreign Languages and Regional Studies:
Date: ……………………………
Signature:
Decision and reasons for decision:
Objections or appeals may be lodged within six weeks of the date of this decision.
N.B.
1) Please provide a description of the course unit you wish to take.
2) You may provide more extensive reasons for your request in a separate (brief) letter.
3) Please complete a separate form for each admission request.
4) Incomplete forms will not be processed.
5) Please complete pages 1 and 2 and send the form to your study advisor as an
attachment to an e-mail.
6) You will need Adobe Acrobat Reader XI to save this form.
2›3
Pages 1 and 2 to be completed by the student
faculty of arts
board of examiners for
modern foreign languages
and regional studies
Section 3 (to be completed by the study advisor, coordinator or lecturer(s))
Name of study advisor:
Recommendation of study advisor:
Name of lecturer:
Recommendation of lecturer:
3›3
Page 3 to be completed by the study advisor and the lecturer