Damages/Charges Standard FormStudent's Name .......................Room/Hostel .....................Tutor .......................... A. Damages(to be completed by the Senior Housekeeper/Building Manager)Description ............................................................................ .............................................................................................. .............................................................................................. Repair/Replacement charge: £ ..................................................... Signed ..................................Date ............................... B. College Charge(to be completed by the Dean of Students)Description of incident (if different from above) .............................................................................................. .............................................................................................. £ ............................ Total charge to student £................... Other action taken (if any) ........................................................... .............................................................................................. Signed ........................ Date ...................
C. Copy to: |