University of Malta Faculty of Science Department of Biology Application for Registration for Individual Study‐Unit BIO1200 – Topics in Marine Biology Registration Deadline: Wednesday 6th April 2016, by 6pm. The course will commence on Wednesday, 6th April 2016. If applicable (see below), participants are required to pay the fee by the registration deadline. Please complete this form and send a scanned copy to the Faculty Office at the University of Malta (science@um.edu.mt), and another to Mr James Fenech (james.fenec@um.edu.mt) Name and surname: _______________________________________________________ Identity card no: _______________________________________________________ Postal address: _______________________________________________________ _______________________________________________________ Home tel no: _______________________________________________________ Mobile no: _______________________________________________________ Email: _______________________________________________________ My status is as follows (tick as appropriate): A) A visiting student (participant from outside University) paying a fee of 125 Euro B) A student registered with University taking ‘BIO1200 Topics in Marine Biology’ as an optional study‐unit (in which case no course fee is payable) C) A student registered with University taking ‘BIO1200 Topics in Marine Biology’ over and above the study‐units that form part of applicant’s course at University, paying a fee of 125 Euro