King’s College London
Term-time Photography – Friday 15th November 2013
Full Name as registered at
King's College London
Student Number (if known)
Email Address
Contact Telephone Number
Award Title (E.g. BA French)
School (E.g. Arts and Humanities,
Law, Nursing etc)
Awarding Body
KCL / UoL (delete as appropriate)
Award Year
Gown Required
Yes / No (delete as appropriate)
Height (cm)
Hat Size (cm) (UoL ONLY)*
Chest Size
Up to 132cm / Over 132 cm (delete as
appropriate)
Number of guests in attendance
Special Needs requirements (e.g.
wheelchair access)
Card Number **
Please enter the long number on the front of
your card, do not use the extra boxes unless
needed. NB these boxes are not for the
security code.
Expiry Date
Valid From Date
Issue Number
Security Code
(last three digits on the back of your card)
Signature
(please type your name here if emailing)
* Please supply the measurement for the circumference of your head, one inch (25mm) above your
eyebrows. Please note that a hat is not always worn at graduation ceremonies.
** An administration fee of £10 will be charged for this service. Please provide card payment details.
Please note we do not accept cash, cheques or American Express.
Please return to the Graduation Office by email or fax. Please note that booking closes at 5pm on
Monday 28th October or when all places are full.
Graduation Office
graduation@kcl.ac.uk
Fax: 0207 848 3059