2022/23 Hunan-Gyfeiriad gan Ddysgwr am Gefnogaeth Lles | Learner Self-Referral for Wellbeing Support 
Os hoffech chi gyfeirio eich hun i gael cymorth lles, llenwch y ffurflen hon ac fe wnawn gysylltu â chi. Dylai dysgwyr consortiwm seiliedig ar waith gysylltu â'u tiwtor/aseswr yn y lle cyntaf.

If you would like to self refer for wellbeing support, please complete this form and we will get back to you. Work based consortium learners should contact their tutor/assessor in the first instance.
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Email *
Eich manylion personol | Your Personal Details
Rhif Adnabod | Learner ID *
Enw Cyntaf | First Name *
Cyfenw | Surname                        
Dyddiad Geni | Date of Birth                                                                                 *
MM
/
DD
/
YYYY
Oedran | Age  
Ar ba gampws ydych chi'n astudio? | Which campus do you study at? *
Cwrs | Course:
Enw Tiwtor Personal | Personal Tutor Name *
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