VIEWS: 13 PAGES: 2 POSTED ON: 3/8/2011
APPLICATION TO RESERVE ACCOMMODATION FORM PERSONAL DETAILS Surname: First Name: Current Address: Homes Address: (if different from current address) Postcode: Postcode: Telephone Number: Telephone Number: Email Address: Mobile Number: Gender: Date of Birth: Nationality: Marital Status: Passport Number: National Insurance No: NEXT OF KIN UNIVERSITY DETAILS Name: Dates attending: Relationship: Name of University or College: Address: Year/Course: Conditional or Unconditional: If conditional, on what? UCAS No: (if applicable) Postcode: Full or Part-time: Telephone Number: (if you are not a full time student you will be liable for Council Tax. If a full time student you will need to provide U-Student Ltd with an exemption letter or certificate from your university/college confirming ADDITIONAL INFORMATION your student status within one week of taking up residence.) Do you have any physical or other special needs which may RENT OPTION (Please choose one option) require specific facilities? In full before the (date of entry) In equal payments prior to the Are you registered disabled? beginning of each term by standing order How did you hear about U- student? 10 monthly payments in advance by standing order ACCOMMODATION DETAILS Which city? Standard Room or Room for Disabled/Special Needs INTERNATIONAL STUDENTS Moving in date: Please note that if you are an international student (i.e. reside outside Moving out date: the UK) payment is to be made in full prior to moving into the student accommodation. (Minimum contract is 42 weeks) GUARANTOR AGREEMENT (to be completed by parent/guardian where applicable) Surname: First Name: Current Address: Previous Address (if you have not lived at the current address for at least three years please provide previous addresses covering this period, continue on separate sheet if Postcode: Postcode: Date moved to current address: Dates lived at previous address: Telephone Number: Mobile Number: Email Address: Date of Birth: Marital Status: Home owner, tenant etc: Have you any County Court Employment Status: Judgements, Court Decree, Bankruptcy or Administration Employer: Orders? (if yes please give details on separate sheet) Signed (Parent/Guardian as Date: Guarantor) APPLICATION CHECK LIST I have enclosed …… Completed application form Cheque made payable to U Student Limited for £150.00 being my deposit. I am a National student and my parents or guardian have completed the Guarantor Agreement section I enclose proof of ID of parent or guardian guarantor. i.e. copy of photographic driving licence or passport and utility bill Signed (by student): 2 No. passport photographs for my U-Student ID Card Date: PLEASE RETURN COMPLETED FORM TO: u-student u-student .com Oakvale House Thomas Lane Burgh Road Industrial Estate Carlisle Tel: 01228 592594 Cumbria Fax: 01228 592598 CA2 7XB Email: email@example.com
"_Info Application to Reserve Accommodation Form U Student 220709"