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REGISTRATION FORM - Expression of Interest

Student Synergy Awards - Expression of Interest

All fields must be filled in correctly.

Full Name*
Sex*
Further Informaton
Please feel free let us know, though it is not compulsory
What course are you studying?*
Contact Number*
Contact Email*
What is your current year of study?*
1st Year
2nd Year
3rd Year
4th Year
5th Year
What is your school?*
Example:If you are studying Computing you would be a member of the School of Science.
Business & Humanities
Engineering
Science
What department are you a member of?*
Example: If you are studying Marketing, you would be a member of the Department of Business & Humanities
Your supporting lecturer & their department*

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