RESIDENCE APPLICATION FORM 2019 FOR FIRST ENTERING ...
RESIDENCE APPLICATION FORM 2019 FOR FIRST ENTERING STUDENTS
SECTION A: APPLICANT DETAILS:
Title
Surname &Initials
Current Qualification
Qualification for 2019 (i.e. B.A)
Level of study (i.e. 1st year)
Level of Study for post graduate (i.e. Honors)
Date of birth
Id no/Passport no
Accommodation required for 1ST Semester
2nd Semester
Full
year
Do you have disability?
Yes
If yes state nature of disability
Gender: No
Residential address
Postal address
SECTION B: PARENT/ GURDIAN DETAILS
Tittle
Surname & Initials
Parent/Guardian cell no
Student cell no:
Signature of applicant
Date
SECTION C: READ THE CONDITIONS AND SIGN____________________________ Date: ______________________
1. Only full time registered students of Univen may apply for university residence. 2. Application for university residence does not guarantee you a place in the residences. 3. Only cancellation received on or before the closing date will be considered. 4. Applicants undertake to abide by all rules and regulations as stipulated in the internal rules for
university residence as well as Univen rules and regulations. 5. Squatting is strictly prohibited and any student harboring a squatter will be subjected to
disciplinary action. 6. Rooms will only be allocated to registered students of Univen. 7. I understand that, should I leave the residence without checking out, I shall be held liable for
accommodation fees, until the month in which I officially checked out.
SECTION C: FOR OFFICE USE ONLY
Approved
Rejected
Signature
Name of Residence Date received
Room number
................
................
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