• Make a considered second choice as you may be allocated to your second choice.
• When you have submitted the form successfully, you will receive a confirmation email at your "@student" email account.
• Check your "@student" account regularly in case we need to contact you and to receive your allocations

Requirement Text Goes Here

Matric No*	Surname *	Your Student Email account
	First Choice	Second Choice
Option X

If you will not be at your home address (as shown on SURF) during the summer vacation, please include here a contact address where you may be reached. You will be asked to confirm your acceptance of an offer of a L4 place.

Address$

Post Code