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SHEETINFORMATIONANDRESERVATIONOFENGAGEMENT
Yourrequest
Desireddateofentry:………………………………..
Desiredappartment:
□Studio 995CHF
Durationofproposedstudies:……………..…………
□Coloc2 895CHF
DurationoftheLease:12months
□Coloc3 875CHF □Coloc4 795CHF
You: Mr/Mrs/Ms LASTNAME :
FIRSTNAME:
Currentaddress:……………………………………………………………………
Guarantor:
LASTNAME: FIRSTNAME:
Address:………………………………………………...…………………………………….
………………………………………………………………………………………………………………
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PC:…………………………………….……..CITY:…………………………..………………
PC:……………………………………CITY:…………..………………………………...…
PAYS:
PAYS:
Familystatus::………………………………………………
Email:
BirthDate:…………………………………………………..
Placeofbirth:…………………………………….……………
☐ SWITZERLAND
☐ EU Resident
☐ Non EU Resident PhoneNumber:………………………………………………………
E-mailaddress:……………………………………………..……….
booked framework leave blank
Situation
Entryofseptember2016
□Student
School……………………………………
Levelofstudies………………………………..…..
Bachelor
Master
Doctorate
Other:………………………..………
Accommodationawarded:
Type:………
N°:…………
Floor:………
Rental:……..
Durationofstay:12mois
Entrydate:
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Dateofrequest:…./…./…….
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MeltemServicesLaRésidence-Neuchâtel,
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