Open Day/Applicant Day Travel Reimbursement Request Form
Please use this form to request reimbursement of public transport costs up to the value of £50, after attending an Open Day or Applicant Day.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Date of Open Day/Applicant Day attended
*
-
Day
-
Month
Year
Date
Proof of travel expense incurred
*
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Please provide receipt/proof of purchase and ensure date and time of travel are clear and visible
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of
Evidence of eligibility
*
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If you are applying as a looked-after young person (in care) or with recent care experience, please submit supporting information which evidences time spent in care such as a letter from a social worker or key worker. If you are applying from a household in receipt of income-assessed benefits, please uload of a recent letter that outlines your entitlement to said benefit. Please ensure that this letter also contains the applicant's home address. The following are considered to be income-assessed benefits: 16-19 Bursary, Free School Meals, Carer’s Allowance, Universal Credit, or Council Tax Support (excluding the single occupancy 25% discount)
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Payment Details
Please ensure all details below are accurate. Pointblank does not accept responsibility for payments being unsuccessful as a result of the applicant providing inaccurate information
Bank/Building Society Name
*
Account Holder Name
*
Account Number
*
Sort Code
*
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