(Veer) WJ181016B808 (Vessel Type) (Colort0olor Schema) (Name of Vessel) I:I Used as a residents This vessel is' Ell NOT used as a residence (Requirstion ir) Page 3 or Z014-05-09 11 16 04 Ptd, EFTA00098680 Registration No: 436693 Person Number: 73274 Campus Activity x I am MOT a student, employee.