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Application for Residential Accommodation, Llys Glas, Swansea 2020/21
This form should either be completed electronically using Adobe Acrobat Reader, or if you wish to
complete the form by hand, please complete in BLOCK CAPITALS and use black ink.
SECTIO
N A: PERSONAL DETAILS
UWTSD Student Number
(If known)
Date of Birth (DD/MM/YYYY)
Title Mr/Mrs/Miss/Ms/Other
Surname / Family Name
Forenames / Given Names
Permanent / Home Country Address
County/State
Post/Zip Code
Country
Home Telephone Number
Mobile Number
Email
Course Title
Do you have any convictions (excluding minor motoring convictions)?
Yes
No
SECTION B: ACCOMMODATION PREFERENCE
Whilst every effort is made to provide students with their choice of accommodation, this is subject to
availability and students may be allocated alternative rooms.
Please tick one box to indicate your Accommodation preference
En-suite room
Extra Large En-suite room
(limited number available)
Large En-suite room
(limited number available)
No preference
Would you like to request a room with Welsh-speaking students?
Yes
No
Additional Information
Should you have any special requirements / additional needs e.g. physical, visual or hearing
impairments that would affect the allocation of your accommodation, please state below:
SECTION C: DECLARATION
I wish to apply for accommodation at the University of Wales Trinity Saint David for 2020/21 and
understand that no guarantee can be given regarding my preferred choice.
By typing your name here, you are signing this form electronically.
Signature of Applicant
Date
This form may be submitted electronically, or as a hard copy by post to the address below:
Accommodation Office, University of Wales Trinity Saint David, Carmarthen Campus, SA31 3EP, UK
Email: accommodation@uwtsd.ac.uk Telephone: +44 (0) 300 323 0313
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