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Room Booking Form - Registry Services

( Fields with * are required )

DETAILS of the person booking the room:

*Your Department:
*Member of staff making booking:
*Your Email:
*Your Telephone Extension:

Details of activity for which accommodation is required:

* Event ID (for which an amendment is requested. If a new event, enter "NEW"):
Course Title (as in the Course Catalogue or University Calendar):
*Groupname (eg AC1001, ZO1501):
Member of staff teaching course:
*Weeks Room Required (eg 12-23 or 31-37,41-45):
*Class Size:
Preferred Room (Please only request a specific room if there is a good reason why that particular room must be used. If you specify a room please state reason for request. If the room is already booked a similar room will be found.):
Preferred Building:
Facilities Required (eg Slide Projector, Piano, etc.):
Timetable Slot (eg Mon-10, Fri-04):
*Activity Type (eg Lec Tut, Sem, Comp, Lab):
*Class Duration in hours:
Any other information:
Date of this request:	24 May 12