Delivery Request Form

Full Name

Email Address

Recipient Location

Closest Landmark

Phone Number

Parcel Type

Student ID Number

Programme Name

National ID Number

Authorization Form

I, _________________________

with student ID Number _________________________

and National ID Number _________________________

hereby authorize D' GOLDEN BIKE to pick up my _________________________.

I accept that the University does not permit anyone to pick up on a student's behalf but I am unable to pick up and hence give that power to D' GOLDEN BIKE delivery to do so for me.

Thank you

Yours faithfully
_________________________

Upload Proof of Clearance (PDF, JPG, or PNG)

Upload National ID (PDF, JPG, or PNG)