This form is only intended for students at the Department of Computer and Systems Sciences, DSV. If you are not a student at DSV, you cannot use this form. Please contact your department. Personal information First name: * Surname: * University account username: * Email * Address: * ZIP-code and city: * Country: * Information about your studies Programme: * Year of admission: * Period for your study leave (dates): * Reason for study leave: * Special circumstances (personal, professional, medical reasons or other, such as care of a child, military duty or student union assignments) Other Please sign in the field below and submit by clicking “skicka”. Signature Here you will find information about how personal data is handled at Stockholm University Skicka