STUDENT CARD FORM
IMAGE AMENDMENT FORM
If your appearance has changed significantly since the issue of your current student card please complete the form below
attaching your new photograph in readiness for your new Student Card. Your Student Card will be ready for collection after
you have completed the award enrolment in September.
Award:
Surname:
Forenames:
Please attach a
passport
photograph for
your
Student Card
Date of Birth:
Student Reference:
Address to Send Card:
(if part-time or
placement year)
Please return to Lynn Hassall, Information Centre, Staffordshire University, Flaxman Building,
Stoke on Trent. ST4 2DE