Residència d'estudiants RE3Torres

PRE-REGISTRATION FORM

*The pre-registration does not ensure a place in the residence or assumes any obligation for the student.

Resident

NAME AND SURNAME(S)(*)

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DATE OF BIRTH(*)

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PLACE OF BIRTH(*)

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MOBILE PHONE(*)

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E-MAIL(*)

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ID/PASSPORT NO.(*)

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RESIDENT’S ACADEMIC DETAILS

COURSE/STUDIES ENROLLED(*)

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HOST INSTITUTION / UNIVERSITY(*)

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ACADEMIC YEAR(*)

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FAMILY DETAILS

FATHER’S NAME AND SURNAME(S)

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MOTHER’S NAME AND SURNAME(S)

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FATHER’S MOBILE PHONE

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MOTHER’S MOBILE PHONE

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LANDLINE

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E-MAIL OF FAMILY CONTACT

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FAMILY HOME ADDRESS

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POSTCODE

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CITY

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PROVINCE

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EMERGENCY PHONE NUMBER

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Modality:

Hiring full course from September 01 to June 30. 10 monthly payments.

Modality(*)

Single room
Superior Single room
Double room

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During the registration process

The following documentation must be handed in:
- Photocopy of Id. / PASSPORT
- Current, passport size photograph
- Documental proof of the studies carried out (receipt, enrolment receipt, etc.) when they are available.

Id. / PASSPORT Resident

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Passport size photograph

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Proof of studies

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Academic record

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ALLERGIES AND/OR INTOLERANCES/MEDICAL CONDITIONS

Please list any foodstuffs that are proscribed due to medical allergies or intolerances, as well as the types of substances that should or should not be used in food preparation:

*Please specify the nature of any medical allergies or intolerances

Allergies and / or intolerances

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* Please describe any medical treatment you are currently receiving

MEDICAL TREATMENT

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Accordance(*)

I acknowledge the accuracy of the data reflected, and I declare that I have read and accept the information on data protection in accordance with the regulations set forth, as well as having read and be in compliance with the internal regulations, requesting a place as a resident at the Residencia d'Estudiants TRES TORRES with the indicated services.

You must give your consent on the veracity of the data reflected and request a place as a resident at the TRES TORRES Residència d'estudiants with the indicated services and on the selected dates

I have read and accept the economic conditions of the Residence.

You must read and accept the economic conditions of the residence for this course

I have read and accept the rules of behavior of the Residence.

You must read and accept the behavior regulations of the Residence.

I accept the Privacy Policy

You must read and accept the privacy policy

* The pre-registration does not ensure a place in the residence or assume any obligation for the student.