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ITD Room Booking Request Form
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ITD Room Booking Request Form
Room Booking Charges
Name
*
Organisation/Department
*
Telephone:
*
Email
*
Department
*
Extension
*
Out of Hours Bookings
*
- Select -
yes
no
For out of hours (evenings after 18:00 and weekends), please provide the name and contact number of the event organiser or a participant that can be contacted by Security in the event of an emergency.
Contact Name
Contact No.
Date of Booking
*
Month
Month
Jan
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Day
Day
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Year
Year
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Start Time
*
Hour
hour
0
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:
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minute
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End Time
*
Hour
hour
0
1
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:
Minute
minute
00
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Number of Attendees
*
Brief Discription of Event
*
Event Requirements
*
Room(s) Required
*
KB1-21A - 30 PCs
KB1-21B - 30 PCs
S119 Ariel 30 PCs
A0-060a IO 34 PCs
A0-060b Callisto 30 PCs
A1-084a Miranda 37 PCs
A1-089 Fishtank 30 PCs
Please select the room(s) required
Math question
*
10 + 0 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
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