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)(*)

Invalid Input

DATE OF BIRTH(*)

Invalid Input

PLACE OF BIRTH(*)

Invalid Input

MOBILE PHONE(*)

Invalid Input

E-MAIL(*)

Invalid Input

ID/PASSPORT NO.(*)

Invalid Input

RESIDENT’S ACADEMIC DETAILS

COURSE/STUDIES ENROLLED(*)

Invalid Input

HOST INSTITUTION / UNIVERSITY(*)

Invalid Input

ACADEMIC YEAR(*)

Invalid Input

FAMILY DETAILS

FATHER’S NAME AND SURNAME(S)

Invalid Input

MOTHER’S NAME AND SURNAME(S)

Invalid Input

FATHER’S MOBILE PHONE

Invalid Input

MOTHER’S MOBILE PHONE

Invalid Input

LANDLINE

Invalid Input

E-MAIL OF FAMILY CONTACT

Invalid Input

FAMILY HOME ADDRESS

Invalid Input

POSTCODE

Invalid Input

CITY

Invalid Input

PROVINCE

Invalid Input

EMERGENCY PHONE NUMBER

Invalid Input

Modality:

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

Modality(*)

Single room
Superior Single room
Double room

Invalid Input

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

Invalid Input

Passport size photograph

Invalid Input

Proof of studies

Invalid Input

Academic record

Invalid Input

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

Invalid Input

* Please describe any medical treatment you are currently receiving

MEDICAL TREATMENT

Invalid Input

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

Captcha(*)

Invalid Input

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