Application form

Where are you going to study?
Institute
 
Faculty
Contactinformation:

Personal data
First name  
Family name  
Date of birth
   (dd/mm/yyyy)
Gender
 
Home address:
City:
Postal Code:
Country:
Home phone:    
E-mail address (ONLY ONE!):
  
Study program:  
Student type
 
 

Arrival and departure information
Real date of arrival
   (dd/mm/yyyy)
Real date of departure
   (dd/mm/yyyy)

Housing preferences





Other information
Number of adults for which housing is requested (partners)    
Number of children for which housing is requested    
Special wishes
Are you a smoker?
Are there any health
problems we should
be aware of?

For agreement
I've seen and read the rental conditions of the Housing Office and agree.
Please tick "I Agree".
 

(After submitting this form, you will receive an email within a few minutes: go to your email (inbox or junkmail) and click the link to complete your application)
    
Please note: by submitting this form you authorise the Housing Office to start its application procedure.
All obligations due to this reservation are at your own personal risk.