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Isle of Wight Council |
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Application for a Spare Seat on School
Transport |
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Please complete the required fields in order to apply
for a spare seat for your child(ren) on school transport.
Once this form
has been submitted, the School Transport Officer will decide whether a spare
seat is available or not and if so the charge per term will be calculated (this
is calculate on a pro rata basis). The school Transport Officer will inform you
of a decision. |
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Forename |
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Middle name/Initials |
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Surname |
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Date of Birth |
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Forename |
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Middle name/Initials |
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Surname |
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Date of Birth |
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Building/house name/number |
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Street address |
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Town name |
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County |
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Postcode |
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Telephone number
(include
area code) |
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Email address |
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Seats are offered on a termly basis only but as much
time as possible will be given if it should become necessary to ask your child
to vacate his/her seat. |
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From |
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To |
school
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Journey Types |
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Specific Journey Details |
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Start Date (if not first day of
term) |
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End Date (if not last day of
term) |
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Please complete the following undertaking: |
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TO: The Transport Manager |
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I
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Parent/Guardian of |
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Living at
(Building/house
name/number) |
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Street address |
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Town
name |
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County |
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Postcode |
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undertake that transport arrangements for his/her
conveyance to school will become entirely my responsibility, both the provision
and the cost thereof, if at any time you are unable to continue to provide
transport. |
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Declaration |
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I declare that I have checked the information given
on this application form and to the best of my knowledge and belief it is
correct.
I understand that a false or misleading statement, or
that withholding relevant information, may result in the refusal or revocation
of the licence and\or may render me liable to
prosecution.
Signed...............................................................
Name................................................................
Date..................................................................
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For Office Use Only:
Permit No.
..........................................................
Date
Issued ....................................................... |
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Data Protection Act
1998 |
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This application
may be monitored by the Isle of Wight Council for regulatory, quality control or
crime detection purposes. Information from this application will be processed in
accordance with the Data Protection Act 1998 for the purpose of processing your
particular enquiry/request. The Isle of Wight Council ("the Council") is the
data controller. By completing this form you consent to the Council contacting
you by email or nominated contact method in relation to your enquiry/request.
The information contained in this application may, in exceptional
circumstances, be subject to disclosure to third parties under either the Data
Protection Act 1998 or the Freedom of Information Act 2000 to the extent the law
allows and in accordance with the Isle of Wight Council's Access to Information
Policy. Disclosure will only be made where in all the circumstances it would be
fair to do so and in the public interest.
Please note that the
Council may process your information in the absence of consent for the purpose
of crime prevention or detection so far as is in accordance with the law.
Sometimes we may use your information to keep
you informed about services, goods or relevant issues that we believe may be of
interest to you. If you wish to receive this information for these purposes
please tick this box
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To improve the quality of other services that
we provide to you the Council wishes to hold your non-sensitive personal
information on a secure central database. This will enable all Council services
to use this information when they are providing a service to/for you. If you
wish your non-sensitive personal information to be held by the Council please
tick this box
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Date printed: 07/03/2013
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