City: JENA WEIMAR
............................................... ................................................. .....................................
surname first name born on (day/month/year)
sex: male .................................................. ......................................
female subjects of study year /level of your studies
home university: …………………………………………………………………………………………………….
host university Friedrich-Schiller-Universität / Fachhochschule
nationality: ...........................................................................................................................................
Have you already graduated from a German or other university? Yes: O No: O
home address * mailing address *
.................................................... ....................................................
street street
................................................... ....................................................
.................................................... .................................................... photo
City city
................................................... ....................................................
postal code postal code
................................................... .....................................................
country country
Tel. ................................... Tel. .............................................
Please tick where letters should be sent to.
I want to share a flat with (this person needs to apply separately, too):
............................................... ................................................... ...................................................
surname first name born on
sex: male ................................................... ..................................................
female subjects year/level of studies
I want my child to live with me:
a) surname: .......................................... first name: ........................................ born on: ..........................................
The
Studentenwerk may stepp back from the contract of letting
accommodation in case fasle information was given. The
court
of
jurisdiction
for all legal procedures in the case of disagreements resulting from
this contract or the withdrawal from it in Jena. I
declare that I do not suffer from contagious diseases. (Place,
date,
signature).............................................................. ............................................................. Ort
Datum Unterschrift
Preferences: (please tick the student hall of residence you wish to live in)
Information about the halls can be found at:
http://studentenwerk.uni-jena.de// Wohnliches Wohnanlagen Jena oder Weimar
Please note: all rooms are single rooms. There are only few single-room apartments; most rooms are part of shared flats. Most flats host female and male students together.
Johann-Griesbach-Straße 7 Seidelstraße 18
Johann-Griesbach-Straße 8 Maurerstraße 38
Naumburger Straße 105 Friesweg 7
Stifterstraße 19 - 19e Stauffenbergstraße 2a
Schlegelstraße 2, 4, 5, 6, 8 Stauffenbergstraße 2
Hügelstraße 1 Emil-Wölk-Straße 9
Karl-Marx-Allee 1,3,5 August-Bebel-Straße 27
Siegfried-Czapski-Straße 2 Lutherstraße 83
Emil-Wölk-Straße 7 Kötschauweg 2a
Jenertal 4 Carl-Zeiss-Promenade 8
Wohnhaus/Wohnanlage
Jakobsplan 1 Belvedere Allee 21a
Schützengasse 2/ Hummelstraße 2 Windmühlenstraße 31/33
Ettersburger Straße 128, 130, 132, 134 Leibnizallee 10/10a
Am Herrenrödchen 1a - 1d Merketalstraße 48
Amalienstraße 1/3 Leibnizallee 10b (Erich-Markel-Haus)
If my choice cannot be met, please offer me an alternative, rent may amount to ca. .................€/month.
(please note that rooms are let for a period of six months, starting on October 1st or April 1st).
Please give us the following necessary information:
Duration of your stay: from ..................................... until .......................................... (dd/mm/yyyy)
(Please note that rooms are let for a period of six months, starting on October 1st or April 1st. If you wish to stay a shorter period that six months, the rent during the time you are staying is higher than as if you were staying six months. This is due to a part of the rent of the time you are not living in the hall any more is levied onto the months you are there. Please ask the hall manager before signing the contract if you have any questions.)
E-Mail (please print legibly):
This application has to be submitted by January 15th for the coming summer semester, by July 15th for the coming winter semester to: Studentenwerk Jena-Weimar, Postfach 100822, 07708 Jena. Fax: 0049 3641 930502.
ACCOMMODATION ANDY’S PLACE B&B 34 BOURKE ST 0415 865
ACCOMMODATION APPLICATION 20142015 HOUSE ADDRESS 433 ALDER CLOSE ELM
ACCOMMODATION APPLICATION FOR A STUDENT HALL OF RESIDENCE
Tags: accommodation application, letting accommodation, student, accommodation, residence, application