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									                                                                                     Department of Physical Resources
                                                                                             RESIDENTIALSERVICES



                    APPLICATION TO TRANSFER
                   RESIDENTIAL ACCOMMODATION
    Please read the following notes very carefully BEFORE completing this application form. If you have any difficulty in completing the
                                       form, please consult a member of Residential Services staff.
1
     This form must be completed in full, and returned to Residential Services along with a fee of £25.00 Sterling to cover administration
     costs. Transfer requests will be facilitated whenever possible, depending on suitable vacancies and individual circumstances
2    If you are seeking a Transfer on medical grounds, written confirmation from your Doctor or the Student Health Centre will be
     required along with this completed application form. In such circumstances the administration fee may be waived at the discretion
     of the Accommodation Manager/Officer
3    If there is another resident who would be prepared to exchange rooms with you, he/she should also complete a Transfer form
4    A Transfer request will NOT be accepted if there are any outstanding residential fees
5    No Transfer can take place without the written approval of the Accommodation Manager/Office
                                             TO BE COMPLETED BY RESIDENT
Name:                                                                   Room No
REASON(S) FOR TRANSFER REQUEST ~ please give as much detail as possible. Continue on reverse if necessary




WHERE ARE YOU SEEKING A TRANSFER TO? (Give a specific room or general area)



IS THERE ANOTHER RESIDENT WHO IS PREPARED TO EXCHANGE ROOMS WITH YOU?
                                                                                                                          YES
(If "Yes", give details and ask him/her to complete a separate form)

                                                                                                                           NO

ARE YOU AGREEABLE FOR RESIDENTIAL SERVICES MAKING YOUR DETAILS AVAILABLE TO                                               YES
OTHERS SEEKING A TRANSFER?                                                                                                NO
SIGNED                                                                  DATE
                 RECEIVED                     ARREARS CHECKED                        TRANSFER FEE PAID
                 ROOM ALLOCATED               RSO INFORMED                           HOUSEKEEPING/FM INFORMED
    OFFICE
     USE   NOTES
     ONLY
                 SIGNED                                                               DATE


                                            ROOM TRANSFER AVAILABLE…
       The room below may be available for approved existing residential students to Transfer into.
          Please contact the student named or the Residential Services Office for further details
Room No/Location/Description


Type of alternative room/Location required



Name:

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