HRF011.1 Travel Pass Scheme

Application Form

For Attention of Human Resources Office

From:
Faculty/School/Unit
Payroll No (See payslip):
CIE Travel Pass No:
Annual Ticket Choice:

1. Annual Bus Dublin Bus (Only)€1320.00
Unlimited travel on all Dublin Bus services

Including Nitelink and Airlink , but does not cover

ferry services or tours

2. Annual Commuter Rail & DART (only)€1460.00
Unlimited travel on all DART, and
Commuter Rail services between Maynooth,
Balbriggan, Kilcoole and Hazelhatch

3. Annual Dublin Bus & Luas€1590.00

Unlimited travel on Dublin Bus services, including

Nitelink and Airlinkand on all Luas services.

4. Annual Commuter Rail & DART + Feeder Services€1700.00

Unlimited travel on all DART, and
Commuter Rail services between Maynooth,
Balbriggan, Kilcoole and Hazelhatch plus feeder bus services
90/92 and Luas between Heuston and Connolly station.

5. Annual Short Hop Commuter Rail, DART & Dublin Bus €1560.00
Unlimited travel on all DART, Commuter
Rail services between Maynooth, Balbriggan, Kilcoole
and Hazelhatch and Dublin Bus scheduled services.

6. Annual Commuter Rail, DART & LUAS€1770.00
Unlimited travel on all DART, Commuter Rail
services between Maynooth, Balbriggan, Kilcoole and
Hazelhatch and LUAS Red/Green lines.

7. Annual Commuter Rail, DART, Dublin Bus & LUAS€2180.00

Unlimited travel on all DART, Commuter Rail
services between Maynooth, Balbriggan, Kilcoole and
Hazelhatch and LUAS Red/Green lines and Dublin Bus scheduled services.

Irish Rail – All rail services countrywide
Point-to-Point Rail (for costs visit
Bus Eireann – All bus services countrywide
Point-to-Point-Bus (for costs visit

Matthews Coach (Bettystown – Dublin) 1 Year€1785.00
Matthews Coach (Drogheda- Dublin)1 Year€1901.00

Matthews Coach (Dundalk – Dublin)1 Year€2258.00
Visit Matthews Coaches for further details

I wish to forego ______of my annual basic salary in lieu of the provision of an annual travel pass by Dublin City University.

I realise that this arrangement will operate for a period of one year and that the reduction in salary will be reflected in my pay slips over that period.

I undertake to reimburse Dublin City University in full for any amount outstanding on my annual travel pass should I leave the University from 1st February 2014 to 31st January 2015.

I have read and I agree to the conditions attached to the Dublin City University Travel Pass Scheme.

Signed:
Payroll No: (see payslip)
Date:

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