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Please add any further information to support your application, please enter it into the field below.
Medical Impact Form
Additional supporting evidence will be requested
-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, understood and agree to abide by the Parking Regulations.
-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.