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First name:
Last name:
Laurier ID:
Laurier Email:
Year of study:
Home campus:
Waterloo
Brantford
Program:
Copy and paste error messages you see in LORIS when attempting to register:
Course (e.g. OL215):
Course section:
BR
BR1
BR2
BR3
BR4
VA
VA1
VA2
VA3
VA4
VA5
VA6
A
B
C
MC1
Term:
Fall
Winter
Summer
Rationale for request:
Electronic signature:
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