Apply for a campus parking permit

Duration of permit

Please select which permit you wish to apply for?*

Vehicle details

Registration number* Make of vehicle* Model of vehicle* Colour* Please indicate below which site(s) you wish your permit to, for example, if your course is split between London Road and Earley Gate, please tick both options. All sites (campus) Earley Gate Whiteknights London Road

Personal details

First name* Last name* Date of birth* Student number* School/Department* Contact telephone number* Email address*

Term-time address

If you live in a hall of residence you should apply for a Halls permit.

This field is mandatory Post Code*

Qualifying information

Please add any further information to support your application, please enter it into the field below.

This field is mandatory* Start date (iPermit only) End date for permit (iPermit only) My Application is based on the following criteria (tick all that apply) Each criteria that is ticked will require supporting evidence Carer/guardian responsibilities Change of circumstance Course related requirements Lack of public transport Medical condition causing current mobility issues (Please complete the Medical Impact Form below) Temporary incapacity (Please complete the Medical Impact Form below)

Medical Impact Form

Disabled badge number (if applicable) Attachments (please attach evidence as per the criteria).*

Please note: If you need to upload multiple documents please add them to a zip file and then upload the zip file. How to do this is explained further here .

Additional supporting evidence will be requested

Declaration

-I declare that the vehicle detailed above is insured against third party risks for use on public and private roads and that the vehicle has a valid road fund licence.

-I hold a full driving licence for the class of vehicle that the application refers to and the driving licence is valid for driving in the UK.

-I have read and understood and agree to abide by the regulations relating to the use of vehicles on campus.

-The address quoted above is correct and registered with Student Services.

-I agree to the University charging me for the student parking permit.

-I agree to make this payment as quickly as possible.

The information you provide will be stored in a parking database for use by authorised personnel. Revenue generated from Vehicle Entry Permits is used to fund initiatives from the University's Green Transport Plan. Charges are reviewed annually. For queries relating to this form please telephone: +44 (0)118 378 7307.

I agree to the terms of the declaration*

91ЕМКН