FROM:………………………………. Name, in Block Capitals Please.
Room No./Accommodation Address:…………………………
1. Please indicate which of the following electrical appliances you have brought into College accommodation by ticking the appropriate box.
| APPLIANCE | Mains charging units for: | |||
| Kettle | ___ | Mobile Phone | ___ | |
| Coffee machine | ___ | i-pod, walkman, MP3 player | ___ | |
| Toaster | ___ | Camera | ___ | |
| Computer system/Laptop[1] | ___ | Gameboy or similar | ___ | |
| Electric clock/ clock radio | ___ | Electric toothbrush | ___ | |
| Stereo system/radio | ___ | Razor | ___ | |
| Hair dryer | ___ | Rechargeable Batteries | ___ | |
| Hair Curling tongs | ___ | Other | ___ | |
| Mini fridge[2] | ___ | Lamp(s) | ___ | |
| Fan | ___ | |||
| Iron | ___ | |||
If you have brought any electrical appliances into College, which are not listed above, please list them here. Equipment provided by the College need not be listed:
I acknowledge that all appliances owned and/or used by me in the College or in residences are listed above and that they conform to BS 2754/BEAB standards.
Signed .................................................... Date .....................................
PLEASE RETURN THIS FORM TO THE DOMESTIC BURSAR'S ASSISTANT BY THE END OF OCTOBER