Form TR13 and NTV13 REQUEST FOR EARLY TERMINATION OF AGREEMENT For Office Use: Date received: Copy sent to Residence Manager  FAMILY NAME ROOM NO Copy sent with acknowledgement letter  Time received Copy sent to Credit Control  FIRST NAME(S) KCL ID no. COUPLES/STUDIO/TWIN/ SINGLE* YEAR OF STUDY 1st / 2nd / 3rd / 4th / 5th/ 6th * MALE/FEMALE* POSTGRADUATE/UNDERGRADUATE* PROGRAMME OF STUDY I request early termination of my residence agreement at:.......................................................... (name of residence) and intend to leave the accommodation on:..........................................................…….... (please refer to point 2 below) My new address will be:……………………………………………………………………..…………………….. ................................................................................................................................................................................... Telephone number:………………………. KCL E-mail:………………………………………………@kcl.ac.uk I wish to terminate my Agreement in line with Terms and Conditions Clause 6.3.3; I was under 18yrs when I accepted the Agreement and turned 18yrs on _______________ (date will be verified by AS Staff using the College Student Records System) and hereby give you 4 weeks written notice of my intent to depart the Residence. I have a: 2 4 ,6 , 9 , 11 week extension of agreement (please tick which if any, is appropriate) 1. I acknowledge that:  I have read and understood the Agreement Terms and Conditions Clauses 2.12 At the end of the Agreement, 6.3 Your other rights to terminate and Appendix Three Procedure for Request for Termination of Agreement  In summary:  The Agreement is for a place and not a specific room; the fact that a room previously occupied by me is filled does NOT necessarily mean that my old Agreement has been taken over by the incoming resident.  There is no guarantee that a suitable replacement will be found and any student leaving or intending to leave a residence will remain liable for the full fee for the full period of residence until otherwise notified in writing. Students are advised not to vacate their accommodation until release has been confirmed.  If after 10 working days, Accommodation Services have not been successful in finding a replacement a resident may seek their own suitable replacement. Residents should note however, that replacements will only be accepted if they are eligible for the accommodation and should therefore, liaise with Accommodation Services regarding this matter.  If replaced, an administration charge of £30 will be made.  On termination or immediately following the expiration of any period of notice of termination of the Agreement I will remove all personal effects from the Residence (including possessions in storage rooms) in accordance with The Agreement Terms and Conditions 2.12. The room must be vacated and locked and the keys returned to the Residence Manager or a person nominated by the Manager. Any personal effects not so removed will remain at my risk and will be removed and may at the reasonable discretion of the Residence Manager, after giving me reasonable notice (normally one notification which may be written or oral), be disposed of by the College without further warning in accordance with the Agreement Terms and Conditions Clause 2.12.)  I have discussed any exceptional circumstances which are relevant to my request to terminate my Residence Agreement with a member of staff at Accommodation Services  Failure to comply with the Agreement Terms and Conditions will lead to the College disciplinary procedure being invoked which in turn could lead to suspension from College.  I may also give written notice overleaf to vacate the premises in accordance with the automatic release dates and acknowledge that I have read and understood the Agreement Terms and Conditions Clause 6 and Appendix Three (My Residence Handbook) Procedure for Request for Termination of Agreement A Resident who has accepted a licence to occupy the accommodation for the standard 40 week period of residence may give written notice (on form NTV/13) of his/her intention to vacate the premises in accordance with the appropriate procedure; automatic release at these dates will NOT be granted unless I am eligible and form NTV/13 overleaf has also been completed. 2. Early Check-Out: At the end of the period of Residence, I may inform the Residence Office in writing (using an Early Check-Out Form ECO/13) that I will be leaving the accommodation in advance of the agreed departure date and that the room may be cleared straight away, in which the case the arrangement in the Agreement Terms and Conditions Clause 2.12 will apply. In these circumstances I will remain liable for the residential accommodation fees until the end of the Residence Agreement unless early termination is agreed in accordance with the Agreement Terms and Conditions Clause 6. NB: the attached questionnaire is anonymous and is used for statistical survey information only; it should not be used to inform staff of any exceptional circumstances relevant to your request. SIGNED DATE IF YOU DO NOT UNDERSTAND THIS PROCEDURE OR YOU HAVE ANY QUESTIONS OR CONCERNS, PLEASE ASK AT ACCOMMODATION SERVICES FOR ASSISTANCE Session 2013/14 *delete as applicable P.T.0 Form TR13 and NTV13 Strand London, WC2R 2NS Tel 020 7848 2759 Fax 020 7848 2724 Accommodation Services Directorate, Students & Education Support Residential Services Notice of intention to vacate accommodation Date Received: Accommodation Services, King’s College London, Strand, London WC2R 2NS KCL ID Number: TO NAME (PRINT) I _________________________________________________ _____________________ Acknowledge that I have read and understood the Agreement Terms and Conditions clauses 2.12 and 6 and Appendix Three; Procedure for Request for Early Termination of Agreement A Resident who has accepted a licence to occupy the accommodation for the standard 40 week or extended period of residence may give written notice (on form NTV/13) of his/her intention to vacate the premises in accordance with the following procedure and hereby give notice that I intend to terminate my 40 week agreement at _____________________________________________________ Please tick appropriate Residence Box below  Hampstead Residence Brian Creamer House  Stamford Street Apartments Wolfson House  Great Dover Street Apartments The Rectory ROOM DATE VACATING My last night of residence will be 02 January 2014 13 April 2014      OR OR in accordance with the standard notice arrangements indicated below* I will vacate the Residence, remove all of my possessions and return the keys/ID cards to the Residence Office/Security Reception by 10.00am on the following day FORWARDING ADDRESS My address after vacating my College accommodation _____________________________________________________ _____________________________________________________ DECLARATION* I acknowledge that: a. I have signed a standard 40 week Residence Agreement. Please note: residents whose Residence Period commences on/after 02 October 2013, will not be eligible for release under the NTV b. To be valid this notice must be received at Accommodation Services by 12 noon on Friday 18 October 2013 to expire at 10am on 03 January 2014 or by 12 noon on Friday 17 January 2014 to expire at 10am on 14 April 2014 c. I will be charged the £30.00 administration fee for early termination of my Agreement d. I must liaise with Credit Control in respect of payment of my residence fees to the 02 January/14 April inclusive as appropriate and the return of the balance of my deposit (less any deductions) e. An earlier release will NOT be considered unless form TR/13 overleaf has also been completed SIGNATURE DATE _______________________________ FOR ACCOMMODATION SERVICES USE APPLICANT ELIGIBLE CC RES OFFICE CC STUDENT CC CREDIT CONTROL AMEND BOOKING Session 2013/14  YES  NO     ______________________________ FOR RESIDENCE OFFICE USE  ROOM CLEARED  DEP RFD  ADMIN FEE  KEYS RTD ID CARD VOID  *delete as applicable P.T.0 Form TR13 and NTV13 SURVEY OF STUDENTS WHO LEAVE A COLLEGE RESIDENCE EARLY BUT REMAIN AT KING’S COLLEGE LONDON We are hoping to gain useful information about the reasons students leave our residences. This survey will be detached from your termination form and will thus remain anonymous. The information you give us will be treated as confidential. We should be grateful if you would take a few moments to complete this information as fully as possible. Please note that if you wish to bring to our attention any issues relevant to your Request for Early Termination of Agreement and/or Notice of intention to vacate Accommodation form, you should communicate this to a member of staff at Accommodation Services in accordance with the appropriate procedure; you may be required to complete a Self Assessment Form. Name of Residence that you are requesting to leave:______________________________________ 1. When I leave the residence I shall be going to:     My family home Another College/Intercollegiate residence (name of residence:_______________________) Private accommodation (please specify postcode:__________________________________) Other:_____________________________________________________________________ 2. I am leaving the residence for the following reason(s): please indicate your primary reason for leaving the residence; if there is more than one reason, please number in order of importance (1 being the most important) FINANCIAL      Loan/Grant problems Cost of the Residence Family finances Found cheaper alternative (including going home) Cost of travel PERSONAL    Personal medical reasons Changed family circumstances Moving out with friends THE RESIDENCE       Noise Relationship problems with other residents Catering provision at KCH Cooking facilities Type of room (eg twin/single) Bathroom facilities     IT facilities General condition of the residence Travelling time to College Location of Residence OTHER (please specify):___________________________________________________________ Session 2013/14 *delete as applicable P.T.0