VS 2017

Please complete by 15 December 2017.

You may complete this form either in block capitals by hand or by editing the document, however you must hand-sign the form.

Name: / ______
I enclose (please tick/click to confirm):
☐ / My completed St Edmund Hall Registration form, plus one photograph my name clearly written in block capitals on the reverse. Please ensure that photographs are originals, not photocopies or computer printouts

Date and time of arrival

I shall be coming into residence/arriving on (please tick appropriate date and write estimated arrival time):
☐ / Sunday 7 January at: / _____ : _____
☐ / Monday 8 January at: / _____ : _____
☐ / Tuesday 9 January at: / _____ : _____
☐ / Wednesday 10 January at: / _____ : _____

You should arrive no later than 3pm on Wednesday 10 January. Freshers who book a place on the University Orientation Programme for International Students should arrive on Sunday.

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Please return this form and the attachments listed above to:

or by mail to College Office, St Edmund Hall, Oxford, OX1 4AR, UK

Please make sure to pay sufficient postage.

ST EDMUND HALL REGISTRATION FORM

You will require two photographs to complete this form

·  Please affix one photograph to the designated area of the form below

·  Attach an additional photograph to this sheet with a paper clip (not staples)

·  Please ensure the attached photograph has your name written clearly on the reverse

Full Name: / ______
Date of Birth: / D D / M M / Y Y Y Y /
Personal Email: / ______
Mobile Number: / ______
These contact details should be those which you intend to use when in Oxford. Please update the College Office if they change.
Permanent Address: / ______
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Post Code: / ______/ Telephone: / ______
Emergency Contact 1 / Emergency Contact 2
Name: / ______/ ______
Tel. (home): / ______/ ______
Tel. (mobile): / ______/ ______
Address: / ______
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I understand that it is my responsibility as a member of St Edmund Hall to familiarise myself with the contents of the Information and Regulations for Junior Members of the College (‘the Grey Book’), whenever they are updated and re-issued to me. I further confirm that I have read and understood the present version of this document.

Signature: / ______/ Date: / ______

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