<p>Application for Annual Season Ticket Loan</p><p>Season Ticket Application Form</p><p>Surname : School/Service : First Name : Payroll Number : Title :</p><p>Name of station where travel British Rail YES/NO starts and ticket will be London Underground station YES/NO purchased : Station where travel ends :</p><p>Zones to be included (if part of your journey is to be made by bus): First day of travel: Last day of travel: Cost of ticket: £ I hereby request that this sum, paid for in the first instance by UEL, be treated as a loan to me to be recovered by deduction from my salary over 10/12 months (please delete as applicable).*</p><p>I understand that staff in the Payroll Section will advise me if the actual cost of the loan differs from the amount quoted above.</p><p>* Please note that if you do not express a choice, your season ticket loan will be deducted over 12 months. I agree to abide by the Conditions as set out above.</p><p>Signature : Date :</p><p>PAYROLL USE ONLY Payroll Number</p><p>Start Monthly Value (1) Monthly Value (2) End</p>