Student Housing Application Form

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    27-Apr-2015

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UNIVERSITY OF PATRAS

STUDENT HOUSING APPLICATION FORMFOR THE LLP / ERASMUS STUDENTS ACADEMIC YEAR 201..../........ First name(s) : Nationality : Home address : ID Number / Passport Number: Telephone: E-mail: Sending University: Fax: Male Surname : Female Date of birth :

Country : Name of the Contact Person at the University of Patras : .... Title :.. Department: .. Name of the Contact Person of the Sending University : . Title : Department: . I would like to stay preferably in: Student Residence Hall (outside Campus) Student Residence Hall (outside Campus) I would like accommodation from . (Sychaina Residence) . (new Residence- Kastellokampos) ./../.

./../.. to

Date: ......................................

Students signature: ...........................................

This Application Form should be sent to the International Relations Office (University of Patras, University Campus, 265 04 Patras, Greece, Tel. +30 2610-969028, Fax +30 2610 994441, email: llp.incoming@upatras.gr ) no later than: October 30th for Spring semester and June 15th for Autumn semester Passed the above dates no guarantee for accommodation is provided