1 Start 2 Complete First Name * Last Name * Student ID Mobile Number * Date of Birth Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year19711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023 Personal Email * Course * How long are you staying? * Semester 1 Semester 2 Semester 1&2 I agree to become a member of the Erasmus Society of the University of Southampton and receive informative emails: * * Agree ESN Card I Agree I am not interested having an ESN Card Additionally, i would like to be informed about how to obtain the Society ID (ESN Card) and the corresponding benefits
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