1(2) Dnr: Dispensansökan skickas till Engelska institutionen, Stockholms universitet, via epost (dispens@english.su.se) senast tre veckor före kursstart. Dispensansökan Jag ansöker om dispens från förkunskapskravet/kraven för kursen (kursnamn och kurskod): OBS! Skriv nedan vilken kurs du vill be antagen till. ......................................................................................................................................... Namn .............................................................................................................................. Personnummer................................................................................................................. E-postadress..................................................................................................................... Telefonnummer................................................................................................................ Jag åberopar följande särskilda skäl: ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... .......................................................................................................................................... Jag ämnar slutföra de moment som saknas på följande sätt: .......................................................................................................................................... Stockholms universitet Engelska institutionen 106 91 Stockholm Besöksadress: Universitetsvägen 10E www.english.su.se E-post: dispens@english.su.se 2(2) .......................................................................................................................................... .......................................................................................................................................... .......................................................................................................................................... .......................................................................................................................................... .......................................................................................................................................... .......................................................................................................................................... .......................................................................................................................................... .......................................................................................................................................... Datum...............................................................................................................................