Foundation FormAssembly Embed - Lancaster University

First name

Last name

Email address

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Date of birth

e.g. 26/09/2002

House name/number & street name

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If your address is not listed then please enter it manually

Town or city

Post code

Country

When would you like to start your studies?

Please select the subject(s) you are interested in from the list below

Subject of interest

Second subject of interest

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