Application Form Th
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KOLPINGHAUS GRAZ 8010 Graz, Adolf-Kolping-Gasse 4-6 Tel.: +43(0)316 82 94 70-0, Fax: DW 560 E-mail: [email protected] Internet: www.kolping-graz.at APPLICATION FOR ADMISSION The room is needed from until Room preferences: Last name: First name: Sex: Date of birth: Nationality: Address: Telephone and e-mail: Parents: Name: Address: Telephone and e-mail: Reason for staying: Cost bearer: Preferred date and time for moving in: All my statements on this application form are true and correct. I declare that I have read, understood and will accept the House Rules and fully agree to abide by them. This agreement is only validated at the time the application’s parents enter the contractual payment obligations. .......................................... ..................................................... ........................................................... Place and date Signature of applicant Signature of cost bearer
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Transcript of Application Form Th
KOLPINGHAUS GRAZ8010 Graz, Adolf-Kolping-Gasse 4-6Tel.: +43(0)316 82 94 70-0, Fax: DW 560E-mail: [email protected]: www.kolping-graz.at
AP P L I CAT I O N F O R ADM I S S I O N
The room is needed from until
Room preferences:
Last name: First name: Sex:
Date of birth: Nationality:
Address:
Telephone and e-mail:
Parents:
Name:
Address:
Telephone and e-mail:
Reason for staying:
Cost bearer:
Preferred date and time for moving in:
All my statements on this application form are true and correct. I declare that I have read, understood and will accept the House Rules and fully agree to abide by them. This agreement is only validated at the time the application’s parents enter the contractual payment obligations.
.......................................... ..................................................... ........................................................... Place and date Signature of applicant Signature of cost bearer
Please fill in the form electronically. To do that, click into the first blue box and enter your data. Use the tab key for quickly navigation through the next boxes. After filling the form completely, please print it out and sign it.
