Please speak to your supervisors to confirm that the proposed change is acceptable before submitting this form.
You are required to spend a minimum of 12 months at the Host Institution. Please complete the section below to confirm a change of dates at your host institution from those originally provided.
Note: this 12 month requirement does not need to be completed in one single visit (multiple visits are allowable, subject to any funding or visa restrictions).
The data you provide on this form is used solely to help us maintain your student record.
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
Data Protection webpages
provide further information on your rights and how the University
processes personal data. Please submit any data subject rights requests to
firstname.lastname@example.org or address any complaints or
suspected breaches to the University's Data Protection Officer at
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