Campus Police

Student Property Registration Form

Student Property Registration Form
Registration Type
Personal Information
Last Name:			First Name:
Middle Initial:			Winthrop University Id #:
Date of Birth:			Cell Phone #:
Driver's License #:			State of Issue:
Email Address:			Gender:

Local Address
Residence Hall:			Residence Hall Room #:
Address (Name & Number):			City:
State:			Zip Code:
Home Phone #:

Permanent Address
Address (Name & Number):			City:
State:			Zip Code:
Home Phone #:

Current Property Information
Make:			Model:
Serial #:			Color:
Category:
Miscellaneous Description:

Current Property Information 2 (optional)
Make:			Model:
Serial #:			Color:
Category:
Miscellaneous Description:

Current Property Information 3 (optional)
Make:			Model:
Serial #:			Color:
Category:
Miscellaneous Description:

Current Property Information 4 (optional)
Make:			Model:
Serial #:			Color:
Category:
Miscellaneous Description:

Current Property Information 5 (optional)
Make:			Model:
Serial #:			Color:
Category:
Miscellaneous Description:

Prior Property Registration (If Applicable)
Municipality:			State:
Decal or Engraved Number:			Expiration Date: