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Class Rep Registration
Registration
Form
Class Rep Registration
Name*
(Required)
First name
Surname
Email*
(Required)
Mobile/Phone Number*
(Required)
Student ID*
(Required)
Year of study*
(Required)
Year of study
1st year
2nd year
3rd year
4th year
Postgraduate
Course*
(Required)
Department
Class Group (if applicable)
Campus*
(Required)
Campus
Bishopstown
Crawford
CSM
CCAD
Kerry South Campus
Kerry North Campus
NMCI
Consent
(Required)
I confirm that I have been duly elected by my class to be their Class Rep.*
(Required)
Consent
(Required)
I confirm I have read the MTU Cork
Privacy Policy
and that in line with this I will be contacted using the data I have provided during this registration*
(Required)
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