KOLLEGIERNES KONTOR, SKOVVEJ 20, 6400 SØNDERBORG ...

15.
a.
16.
Current housing situation:
Tick off the matching
situation
Is your current address more
than 40km away from
Sønderborg
Applicant Co-applicant
Homeless ___
Termination of tenancy/temporary
housing___
Termination of cohabitation___
Living with parents___
Other___
___yes ___no ___yes ___no
Expected yearly gross income: 75.000 Dkr. - 100.000 Dkr ___
100.000 Dkr. – 150.000 Dkr ___
150.000 Dkr. – 200.000 Dkr. ___
200.000 Dkr. – 250.000 Dkr. ___
>250.000 Dkr.___
17. Family relations
a. Pregnant
b. Children living at home Number of children____
Age of children_______________________
c. Visiting rights
18. Special circumstances
Homeless ___
Termination of tenancy/temporary
housing___
Termination of cohabitation___
Living with parents___
Other___
75.000 Dkr. - 100.000 Dkr ___
100.000 Dkr. – 150.000 Dkr ___
150.000 Dkr. – 200.000 Dkr. ___
200.000 Dkr. – 250.000 Dkr. ___
>250.000 Dkr.___
Number of children____
Age of children_______________________
a. Documentation enclosed ____yes ____no ____yes _____no
The application will be disregarded if the information given is incorrect, indistinct or incomplete or if the
documentation of the given information is insufficient. The applicant’s signature is a solemn declaration of the
correctness of the information given.
If the applicant is under the age of 18, the signature of a parent or guardian is also required
Date:_______________ ______________________ _______________________
Applicant’s signature Co-applicant’s signature