APPLICATION FORM - NOOITGEDACHT BLOCK C - 2019 STELLENBOSCH UNIVERSITY ACCREDITED PRIVATE RESIDENCE

    (Off-campus accommodation – not part of the University’s residence structure)

    STUDENT/RESIDENT DETAILS:

    Gender

    MaleFemale

    Student no:

    ID No

    Surname:

    Full Names:

    Contact No:

    Email Address:

    Course and year of study enrolled for in 2019:

    Which educational facility do/did you attend?

    Course or grade completed/busy with 2018?

    Subjects and marks achieved 2018 - Attach copy June 2018 results

    Room request - Tariff includes Shuttle

    Basement parking @ R3 500pa

    Where did you hear about Nooitgedacht C?

    DETAILS OF PERSON RESPONSIBLE FOR ACCOUNTS/LEASE AGREEMENT:

    Relationship to Student/Resident:

    Tel No:

    Cell No:

    Work No:

    Surname:

    Full Names:

    ID No:

    Email Address:

    Physical Address: