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Contact Details Form

I have read and completed the INTERCALATED YEAR PLACEMENT APPROVAL FORM (required)
Privacy notice

The data on this form will be stored and used as contact information in relation to your intercalated year. By completing this form you agree that the department is able to contact you, your placement provider and if necessary your emergency contact during your intercalated year


We will not use the data for any other purpose.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University’s Data Protection webpages provide further information on your rights and how the University processes personal data. Please submit any data subject rights requests to or address any complaints or suspected breaches to the University’s Data Protection Officer at

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