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KOLLEGIERNES KONTOR, SKOVVEJ 20, 6400 SØNDERBORG ...

KOLLEGIERNES KONTOR, SKOVVEJ 20, 6400 SØNDERBORG ...

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<strong>KOLLEGIERNES</strong> <strong>KONTOR</strong>, <strong>SKOVVEJ</strong> <strong>20</strong>, <strong>6400</strong> <strong>SØNDERBORG</strong>, Phone: 7442 4849, TELEFAX 7413 4849, kontor@kk.kollegie<strong>6400</strong>.dk<br />

Office hours: Mon. – Fri. 11 am. -3 pm. Thurs. 11am. – 5pm.<br />

Reserved for the recommendation committee, Sønderborg<br />

Ank. dato Udd. nr. Udd. slut Gruppe Tildelt Indf. dato Fraf. dato j.nr.<br />

Application form for a student accommodation<br />

Applicants may apply for an accommodation at several different halls of accommodation and for several types of<br />

accommodation by priority. (Please read the instructions before filling out the priority table). We also refer to our<br />

homepage www.kk.kollegie<strong>6400</strong>.dk, where it is possible to apply electronically.<br />

Each type of accommodation has a code number, (see the pricelist/brochure/homepage). Please fill in the code<br />

numbers of the accommodation, you wish to apply for, in the priority table below. If you want to apply for all types<br />

of 1-room accommodations with or without separate kitchen, write code # 1000. Write code # <strong>20</strong>00 if you wish to<br />

apply for all types of multiple-room accommodations.<br />

1) 2) 3) 4) 5)<br />

6) 7) 8) 9) 10)<br />

1. CPR-No.<br />

2. First name(s)<br />

3. Surname<br />

4. Current address<br />

5. Postal code/city<br />

6. Nationality<br />

7. Telephone No.<br />

8. E-mail address<br />

9.<br />

Educational institution in<br />

Sønderborg<br />

10. Type of education/training<br />

11.<br />

12.<br />

13.<br />

14.<br />

Education commenced<br />

(date/year)<br />

Applicant Co-applicant<br />

Expected date of completion<br />

of education<br />

Documentation of education<br />

(please mark with x)<br />

Enclosed:<br />

Forwarded as soon as<br />

possible:<br />

Desired date for moving<br />

in(date/year) VEND!


15.<br />

a.<br />

16.<br />

Current housing situation:<br />

Tick off the matching<br />

situation<br />

Is your current address more<br />

than 40km away from<br />

Sønderborg<br />

Applicant Co-applicant<br />

Homeless ___<br />

Termination of tenancy/temporary<br />

housing___<br />

Termination of cohabitation___<br />

Living with parents___<br />

Other___<br />

___yes ___no ___yes ___no<br />

Expected yearly gross income: 75.000 Dkr. - 100.000 Dkr ___<br />

100.000 Dkr. – 150.000 Dkr ___<br />

150.000 Dkr. – <strong>20</strong>0.000 Dkr. ___<br />

<strong>20</strong>0.000 Dkr. – 250.000 Dkr. ___<br />

>250.000 Dkr.___<br />

17. Family relations<br />

a. Pregnant<br />

b. Children living at home Number of children____<br />

Age of children_______________________<br />

c. Visiting rights<br />

18. Special circumstances<br />

Homeless ___<br />

Termination of tenancy/temporary<br />

housing___<br />

Termination of cohabitation___<br />

Living with parents___<br />

Other___<br />

75.000 Dkr. - 100.000 Dkr ___<br />

100.000 Dkr. – 150.000 Dkr ___<br />

150.000 Dkr. – <strong>20</strong>0.000 Dkr. ___<br />

<strong>20</strong>0.000 Dkr. – 250.000 Dkr. ___<br />

>250.000 Dkr.___<br />

Number of children____<br />

Age of children_______________________<br />

a. Documentation enclosed ____yes ____no ____yes _____no<br />

The application will be disregarded if the information given is incorrect, indistinct or incomplete or if the<br />

documentation of the given information is insufficient. The applicant’s signature is a solemn declaration of the<br />

correctness of the information given.<br />

If the applicant is under the age of 18, the signature of a parent or guardian is also required<br />

Date:_______________ ______________________ _______________________<br />

Applicant’s signature Co-applicant’s signature

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