While staying in Halls you are entitled to a Brookeskey which will come preloaded with a time-based product
allowing you unlimited* use of the Brookesbus services. You will need to complete this application form
to receive your Brookeskey.

No payment is required for your Brookeskey. You will need to upload a passport-style photo that includes
your head and shoulders (less than 100KB).

If you are not staying in Halls for the 2012 academic year, then please visit http://brookes.oxfordkey.co.uk to
get a new Brookeskey or top up your existing Brookeskey.

If you have any questions or problems completing your application or uploading your photo,
please contact: brookesbus@oxfordbus.co.uk or call 01865 484040 during office hours.

*A £1 supplement charge will apply when travelling on the Brookesbus night services

ABOUT YOU

First Name:
Middle Name:
Last Name:
Student/Staff/UCAS/UKPASS No.
Home Phone Number:
Mobile Phone Number:
Email:
Date Of Birth:	-- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 -- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ---- 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995
Gender:	Male Female

WHICH HALL OF RESIDENCE WILL YOU BE LIVING IN?

Cheney student village

Clive Booth Hall

Crescent Hall

Harcourt Hill Hall

Lady Spencer Churchill Hall (Wheatley)

Paul Kent Hall

Warneford Hall

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