School travel pass application

As part of the strategy to improve behaviour and the experience for children travelling on home to school transport we are changing the style of bus pass issued to secondary school children.

We will issue a credit card sized pass with a photograph of the child, which is designed to last their entire secondary school life. The change in pass is being phased in. You will have been notified if your child will need to apply for a photo pass.

Please note: This application form is to be used for photo pass applications only.

Name

Title
If other, please specify
First name(s) *
Surname *

Date of birth *	Date of birth Month Day Year

Address

If the address is within North Lincolnshire, enter the postcode in the box below and then select "find address". If the address is outside of North Lincolnshire, or your address is NOT SHOWN in the list or is incorrect, you will need to enter the address in the boxes provided below.

Postcode *Please include a space between the first and second parts of your postcode e.g. DN16 1AB.


Prefix e.g. first floor flat
House number/name *
Street *
Town/village
County
Country

Contact details

Telephone number *
Mobile telephone number

Email address

Additional details

School *

Route number

Please supply a passport sized photograph *

Declaration

I accept the travel pass issued to me is subject to the policy and conditions published by North Lincolnshire Council and the conditions of any bus operator. I have read and agree to these terms and conditions.

I agree

Data protection

The information provided on this form will be held by North Lincolnshire Council, it may be issued to other organisations, e.g. transport providers, but will be used only for the purpose of student travel.

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