Record Request Form

Please complete this form to request information the Disability & Learning Support Service holds about you.

We retain your record for five years after you graduate or leave the University. After which your file is destroyed.
For more information on how we use your information, please see our Privacy Notice.
Please Note: We will only send your record to you and not a third party. We expect you to send this on to the third party yourself.

Name *

Matriculation Number *

Date of Birth *

Day

Month

Year

Last or current Personal Tutor or Director of Studies *

Date of Graduation

Day

Month

Year

Current Email Address *

Current Postal Address *

Which of the following would you like copies of? *