To complete this form successfully you will need to know:
(a) the commencement date of the SILAC Module you wish to start your studies from, and
(b) the number of weeks you wish to study (2, 3, 4, 5, 6, 7, 8, 9, 10, 11 or 12 - you can also change this later).
Whenever you write a calendar date - please write the year first, then the month, then the day, in 6 digits. For Example: if you want to write 2015/DECEMBER/21 then write it as 15/12/21 (ie YY/MM/DD). This will ensure that the date will transfer into the database correctly.
If an error occurs, please contact email@example.com.
Please, complete all sections.