student housing leicester

Accommodation Application Form

Sangha House & Sangha Halls / Alexander House Application Form

Personal Details

Title *
Sex *
Name *
Surname *
Personal Email Address *
University Email Address *
Mobile Phone No *
Date of Birth *
Nationality *
Religion *
Which University do you attend *
If undergraduate, year of study *
Post Graduate Credential *
Required Fields *

Term Time Address

Address Line 1 *
Address Line 2 *
Town / City *
Postcode *
Landline Telephone No *

Outside of Term Time Address

Address Line 1 *
Address Line 2 *
Town / City *
Postcode *
Landline Telephone No *

Guarantor Details

Name *
Surname *
Address Line 1 *
Address Line 2 *
Town / City *
Postcode *
Landline Telephone No *
Email Address *
Mobile Phone No *
Relationship to you *

Next of Kin Details

Name *
Surname *
Address Line 1 *
Address Line 2 *
Town / City *
Postcode *
Landline Telephone No *
Email Address *
Mobile Phone No *
Relationship to you *

Accommodation Details

Do you prefer the flat to be *
I wish to share with the following

Terms

I agree to the Terms *

Verification

Submit Details

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