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Car Parking at the Falmer Campus - Student application

PLEASE ANSWER ALL QUESTIONS

Applications can be printed and submitted to the address below, or completed online.

Name:
Term time address:
Town/City
Post Code
Daytime contact no:
Department/Course
Course Type full time
part time
Start date of course:
End date of course:

Do you hold a blue disabled badge?

yes
no

If yes, please quote badge number

When travelling to/from Falmer do you require use of a car for other reasons, eg taking son/daughter to school, main carer responsibilities?

yes
no

If yes, please provide details and enclose documentary support



If you do not qualify for a permit to park at the Falmer Campus, do you wish to be considered for a park and ride permit for the Watts building?

yes
no

Please provide any other relevant information to support your application here or on a continuation sheet.

For registration purposes, should your application be successful, please provide details of your vehicle.

Vehicle registration number:
make & model:
colour:

I certify the information provided is truthful and accurate. I agree to the University's Audit Department checking details provided.
Date

your email address
(optional)


a copy of this form will be sent to your email address if a valid email address is provided

 

Thank you for completing this form. Please return it to

Tim Bretherick
University of Brighton
Department of Estate and Facilities Management
Exion 27
Crowhurst Rd
Hollingbury
Brighton
BN1 8AF

It is important to answer all parts of this application form. Failure to do so will result in your application being disregarded without notification. By submitting this application, you agree that information provided can be checked by the University's Audit department.

 

 


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