University of Essex - Under 18 Emergency Contact Details

Name of student: ANANDITA KHANNA

Home address:
58R MODEL TOWN, LUDHIANA, PUNJAB
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Country: INDIA Postcode: 141002

Course title and code: BACHELORS IN COMPUTER SCIENCE, G420

Date of birth: 18/10/05 Application ID: DA10017926

Declarations
I have read the information for students who are under 18 and agree to comply with any University and legal obligations and
policies outlined referred to on this page.
I understand that I am required to live in University accommodation and will submit an accommodation application before the
published deadline.
I understand that I am expected to arrive at the University of Essex on the published arrivals day and attend compulsory events
in Welcome Week
I understand that if I am not 18 by 1 October 2023 I must provide the details of a UK based emergency contact, who is over 21
years old, and who can be contacted by the University if there is an emergency or if I have difficulties registering. I understand that
the University will verify the information I provide.

Student signature:

Date: 01/06/2023

Parent contact details

Name: GAURAV KHANNA

Relationship to student: FATHER

Address:
58R MODEL TOWN, LUDHIANA, PUNJAB ,141002
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Email address: Gauravkhanna54@gmail.com

Contact Phone: - Mobile phone: 9814045791

This form must be signed by both parents/legal guardians or by just one parent/guardian if they have sole responsibility for the child,
to confirm that they agree to the declarations set out above. If one parent or guardian is signing this form, please confirm by ticking
this box that you have sole responsibility for the child

1st parent signature: Click here to enter text.

2nd parent signature: Click here to enter text.

UK based emergency contact

Name: UMANG AGGARWAL

Relationship to student or guardianship: COUSIN BROTHER

Address: ROLAND HOUSE APARTMENTS,2 ROLAND GARDENS, SOUTH KENSINGTON, LONDON SW73AJ
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Email address: uka0099@gmail.com
24 hour Contact Phone: +44 7721400036 Mobile phone: +447721400036

Date of birth: 11/07/1996

* If you do not already have a UK based emergency contact or guardian, you may wish to contact Aegis for advice.
Please return as soon as possible to ugsupport@essex.ac.uk