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Reservation Form

1. Personal Details
* Last Name:  
* First Name:  
Title:
* Date of Birth: * YYYY: * MM: * DD:
        
* Sex: Male   Female
Country of citizenship:
* Are you a Student? Yes No
If yes, what is the name of your University/Institution?
* Your Street Address:  
* City:  
Suburb:
* Phone 1:  
Phone 2:
* Email:     
2. Application Details
Are you moving out with others? Yes (go to question 2a)
No (go to question 2b)
2a. Applicants details:
Name:
Name:
Name:
Name:
2b. Apartment Preference
* Preferred apartment style:
Studio 2 bedroom
1 bedroom 3 bedroom
* Preferred apartment category:
Standard Super Deluxe
Deluxe (1&2 bedroom only)
Do you mind sharing with others? No
Yes, with either sex
Yes, but only with the same sex
* Proposed arrival date: * YYYY: * MM: * DD:
         
* Proposed departure date: * YYYY: * MM: * DD:
         
Note: An approximate arrival & departure date is needed to determine your stay rate.
          If unsure, provide approximate dates.
Preferred apartment level:
Level 1 Levels 2-6
Levels 7-11 Level 12
Do you have any special needs?
(religious, cultural, medical or otherwise)
* Where did you hear about Scholar Apartments?
Flyer/poster Newspaper Magazine Other (please specify)
On-site Billboard Directory Online Search  
Where/which one? Please specify:
Notes:

Fees and Payments

I understand and accept that if I am offered and subsequently accept an accommodation placement the terms of my stay shall be governed by your License to Occupy and/or any addition or amendment made thereto. Any information provided which is found to be incorrect may be grounds for an offer to be withdrawn and/or an accommodation arrangement terminated. The acceptance of application forms will not be acknowledged as a matter of course. This application should be read in conjunction with the pricing information and Terms & Conditions on the Scholar Apartments website.

 

* I have read & agree to all of the Scholar Apartments Terms & Conditions 

 

 
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