1 Start 2 Complete First Name * Last Name * Student ID Mobile Number * Date of Birth Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year19731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025 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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