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Wellbeing and Student Support

DSA Equipment Contribution Application Form

7) Have you already paid the £200 contribution? (required)
8) If no, would you like to request that the University pays the £200 contribution on your behalf? The £200 would then be transferred to onto your University Student Finance account with a repayment date of the end of the current academic year.
9) Are you in receipt of an award from the Warwick Undergraduate Scholarships and Bursaries Scheme? (required)
Declaration – Please tick to indicate you agree with the following statements: (required)
*Please attach your DSA2 agreement letter outlining the requirement for you to make the £200 contribution. If you have already paid the £200 yourself please also provide a receipt as confirmation. If you are applying for Level 2 support please attach a copy of your benefit/ tax credit notification.*
 
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Privacy notice

The University of Warwick will process your personal data provided in this application form for the purposes of processing your application and assessing your eligibility for the DSA £200 Contribution Fund.

The legal basis for processing this personal data is that it is necessary for the performance of services and/or consent, which is obtained through your submission of this online form.

Your personal data will not be shared or disclosed to any third parties external to the University of Warwick.

Your personal data will not be transferred outside of the EEA, will be kept securely by the University of Warwick and will be retained for as long as the current academic year plus six years.

The University of Warwick is the Data Controller of this information and is committed to protecting the rights of individuals in line with Data Protection Legislation. Please visit the University’s Data Protection webpages for further information in relation to your rights and how the University processes your personal data.  The University has a Data Protection Officer who can be contacted by emailing dpo@warwick.ac.uk.  Any requests or complaints should be made in writing to the University's Data Protection Officer.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at infocompliance@warwick.ac.uk.

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