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University of Iowa handbooks for new students, 1960-1968
Page 26
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Univ. Card Imprint of Name and Number. If I.D. Card not available print last, first, middle name, and Univ. number. STATE UNIVERSITY OF IOWA [empty box for info] Major Subject... Fr. Soph. Jr. Sr. Uncl. Grad. COURSE TITLE (Leave a space between courses) Dept. No. Course No. Sec. Sem. Hrs. Lv. Blank Total [under Sec. column only] Signature of Adviser... If this is your First Registration at S.U.I.?... If name changed since you last registered give former name.... Signature of Dean (if required)... Date of Birth... Please print all information clearly Current Date If from Iowa list County No. Church Number Check type of residence 1. Dormitory 2. Sorority or Fraternity 3. Univ. Married Housing 4. Living at Home 5. Off Campus Single Married Check in parentheses below where monthly billing should be sent ( ).... Permanent home address: street, city and state Iowa City phone or University ext. number ( ) Local address: number and street, OR ( ) Commuting address: street, city, and state Check if commuting to classes from outside Iowa City and University Heights. Parent or Guardian information Name Address: number street City, zone State or Country 26
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Univ. Card Imprint of Name and Number. If I.D. Card not available print last, first, middle name, and Univ. number. STATE UNIVERSITY OF IOWA [empty box for info] Major Subject... Fr. Soph. Jr. Sr. Uncl. Grad. COURSE TITLE (Leave a space between courses) Dept. No. Course No. Sec. Sem. Hrs. Lv. Blank Total [under Sec. column only] Signature of Adviser... If this is your First Registration at S.U.I.?... If name changed since you last registered give former name.... Signature of Dean (if required)... Date of Birth... Please print all information clearly Current Date If from Iowa list County No. Church Number Check type of residence 1. Dormitory 2. Sorority or Fraternity 3. Univ. Married Housing 4. Living at Home 5. Off Campus Single Married Check in parentheses below where monthly billing should be sent ( ).... Permanent home address: street, city and state Iowa City phone or University ext. number ( ) Local address: number and street, OR ( ) Commuting address: street, city, and state Check if commuting to classes from outside Iowa City and University Heights. Parent or Guardian information Name Address: number street City, zone State or Country 26
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