Concessionary Seat Application Form 2017-18 PLEASE COMPLETE THIS FORM IN BLOCK CAPITALS AND IN BLACK INK BUS APPLICATION to be completed by all applicants – 1.1 Pupil Details First child First Name: Surname: Male: Female: Date of Year Group: (2017/18) □ □ Second child First Name: Surname: Male: Female: Date of Birth: Year Group: (2017/18) □ □ Third child First Name: Surname: Male: Female: Date of Birth: Year Group: (2017/18) □ □ Please continue and attach an additional sheet where necessary Pupils’ Home Address: Postcode: School Date: Please provide details on the reverse if your child is not travelling from their home address. 1.2 Type of Pass Standard Return Fare Single Journey Fare (am) □ □ Single Journey Fare (pm) □ 1.3 Preferred Bus Route Your Preferred Bus Route(s) if known - see school website: First preference: Second preference: 1.4 Payment Details Name of person to receive invoice (this person must be over 18 years of age) Title: First Name: Surname: Home Address: (if different from above) Post Code: Relationship to pupil: Telephone: Email: 1.5 Conditions of the Sedgefield Community College Seat Scheme (1) Applications must be made on the official form.
Concessionary Seat Application Form 2017-18 PLEASE COMPLETE THIS FORM IN BLOCK CAPITALS AND IN BLACK INK BUS APPLICATION – to be completed by all applicants 1.1 Pupil Details First child First Name: Surname: Male: □ Female: □ Date of Year Group: (2017/18) Second child First Name: Surname: Male: □ Female: □ Date of Birth: Year Group: (2017/18) Third child First Name: Surname: Male: □ Female: □ Date of Birth: Year Group: (2017/18) Please continue and attach an additional sheet where necessary Pupils’ Home Address: Postcode: School Date: Please provide details on the reverse if your child is not travelling from their home address. 1.2 Type of Pass □ Standard Return Fare □ Single Journey Fare (am) □ Single Journey Fare (pm) 1.3 Preferred Bus Route Your Preferred Bus Route(s) if known - see school website: First preference: Second preference: 1.4 Payment Details Name of person to receive invoice (this person must be over 18 years of age) Title: First Name: Surname: Home Address: (if different from above) Post Code: Relationship to pupil: Telephone: Email: 1.5 Conditions of the Sedgefield Community College Seat Scheme (1) Applications must be made on the official form.
SCC-Transport-application-pack-2017-18-1.docx