DUWO Housing Application Form 2008

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Page 1 of 2 aanvraagform studenten 2008 April ’08 CK Application form for student accommodation DUWO Office Delft Please reserve: Kanaalweg 4 O a room in a group of two or three, common use of shower/toilet/kitchen 2628 EB Delft O a room in a group at ‘Marcushof’ or “Binnenhof” common use of Mailing address: shower/toilet/kitchen PO Box 54 O a (bed-sit) studio, private shower/toilet/kitchenette 2600 AB Delft T 0031-15-2192200 Room in a group of 2 or 3: These rooms are situated in an area where also F 0031-15-2158015 families are living. The rooms are furnished. You share the bathroom, toilet and I www.duwo.nl kitchen with other persons. The rooms are different in M² and therefore different E [email protected] in price. Note: a few rooms are shared with more than 3 persons. These rooms are on a floor with Dutch students. Room in a group at “Marcushof”: The rooms are furnished. Most rooms have a private toilet. You share the kitchen and bath rooms with the other foreign students on the floor. (max. 24 students per floor) Room in a group at “Binnenhof”: The rooms are furnished. You share the bath rooms with the other foreign students on the floor. (max 8 persons) There is one large kitchen for the whole complex of 31 rooms. Studio: These 1-room apartments are furnished. You have your own kitchen, bathroom and toilet. Period of application O 1 September 2008 – 31 January 2009 (first semester) O 2 February 2009 – 31 July 2009 (second semester)* O other period: Arrival (1 st or 16th) …………………Departure (15 th or last day of the month)………………… If the commencement date is during the weekend or holidays, the reservation will be made for the first working day after this date. * It is possible that the room will not be ready on February 2 nd , but there will be a temporary solution available, arranged by TU-Delft.. Payment O I will pay in monthly instalments. (First payment in cash euros on arrival) O I will pay the whole period at least 14 days before the rental period starts and get a discount of 3%. NON-EU Visa applicants O I will have the whole period paid after arrival in Delft from the guarantee payment I have previously made to TU Delft. TU Delft will make this payment on my behalf. Personal data Family name (surname) .........................………………………………….……………………………………………. First name(s) ..……………………………………………………………………………………………………….. Date of birth (date-month-year) …………………………………………Gender O Male O Female Residential address ………………………………………………………………………………………………….. Postal code and Town/city… ………………………………………….Country…………………………………... E-mail……………………………………………………………………Nationality……………………………….. Home Institute…………………………………………………………...Department……………………………… TU-Delft faculty……………………………………………………… Person to notify in case of emergency in your home country Residential address……………….………………………………………………………………………………… Postal code and town/city ………………………………………………Country………………………………… Telephone …………………………………….E-mail……………………………………………………………. I have read all information carefully and I agree to the conditions stated on both sides of this form. Place……………………………………………Date…………………… Signature .…………………………………. 22.05.1987 Bulgaria Bulgarian Techmical University of Sofia College of Energetic and Electronics Computer engineering Bulgaria . . . 01.04.2009 31.06.2009 Botevgrad 10.12.2008 Stoyanov Valentin . [email protected] 17 Tsar Ivan Shishman B Str 2140, Botevgrad 17 Tsar Ivan Shishman B Str 2140, Botevgrad +35972363731

Transcript of DUWO Housing Application Form 2008

Page 1: DUWO Housing Application Form 2008

Page 1 of 2 aanvraagform studenten 2008

April ’08 CK

Application form for student accommodation DUWO Office Delft Please reserve: Kanaalweg 4 O a room in a group of two or three, common use of shower/toilet/kitchen 2628 EB Delft O a room in a group at ‘Marcushof’ or “Binnenhof” common use of Mailing address: shower/toilet/kitchen PO Box 54 O a (bed-sit) studio, private shower/toilet/kitchenette 2600 AB Delft T 0031-15-2192200 Room in a group of 2 or 3: These rooms are situated in an area where also F 0031-15-2158015 families are living. The rooms are furnished. You share the bathroom, toilet and I www.duwo.nl kitchen with other persons. The rooms are different in M² and therefore different E [email protected] in price. Note: a few rooms are shared with more than 3 persons. These rooms are on a floor with Dutch students. Room in a group at “Marcushof”: The rooms are furnished. Most rooms have a private toilet. You share the kitchen and bath rooms with the other foreign students on the floor. (max. 24 students per floor) Room in a group at “Binnenhof”: The rooms are furnished. You share the bath rooms with the other foreign students on the floor. (max 8 persons) There is one large kitchen for the whole complex of 31 rooms. Studio: These 1-room apartments are furnished. You have your own kitchen, bathroom and toilet.

Period of application O 1 September 2008 – 31 January 2009 (first semester) O 2 February 2009 – 31 July 2009 (second semester)* O other period: Arrival (1st or 16th) …………………Departure (15th or last day of the month)………………… If the commencement date is during the weekend or holidays, the reservation will be made for the first working day after this date. * It is possible that the room will not be ready on February 2nd, but there will be a temporary solution available, arranged by TU-Delft.. Payment O I will pay in monthly instalments. (First payment in cash euros on arrival) O I will pay the whole period at least 14 days before the rental period starts and get a discount of 3%. NON-EU Visa applicants O I will have the whole period paid after arrival in Delft from the guarantee payment I have previously made to TU Delft. TU Delft will make this payment on my behalf. Personal data

Family name (surname) .........................………………………………….…………………………………………….

First name(s) ..………………………………………………………………………………………………………..

Date of birth (date-month-year) …………………………………………Gender O Male O Female

Residential address …………………………………………………………………………………………………..

Postal code and Town/city… ………………………………………….Country…………………………………...

E-mail……………………………………………………………………Nationality………………………………..

Home Institute…………………………………………………………...Department………………………………

TU-Delft faculty……………………………………………………… Person to notify in case of emergency in your home country

Residential address……………….…………………………………………………………………………………

Postal code and town/city ………………………………………………Country…………………………………

Telephone …………………………………….E-mail…………………………………………………………….

I have read all information carefully and I agree to the conditions stated on both sides of this form.

Place……………………………………………Date……………………

Signature .………………………………….

22.05.1987

Bulgaria

Bulgarian

Techmical University of Sofia College of Energetic and Electronics

Computer engineering

Bulgaria

.

.

.

01.04.2009 31.06.2009

Botevgrad 10.12.2008

Stoyanov

Valentin [email protected]

17 Tsar Ivan Shishman B Str

2140, Botevgrad

17 Tsar Ivan Shishman B Str

2140, Botevgrad

+35972363731

Page 2: DUWO Housing Application Form 2008

Page 2 of 2 aanvraagform studenten 2008

April ’08 CK

Conditions for reserving and renting DUWO accommodation

Completing and signing this form is not without engagement.

If you have signed and submitted the application form, this implies that you are obliged to pay for the requested accommodation.

CANCELLATION A reservation may be cancelled free of charges up to one month before the commencement of the rental period. A late cancellation; i.e. within 30 days of the commencement of the tenancy agreement will result in an additional charge of 6 weeks rent. The rent price includes: gas, water, electricity, tv-signal, internet* and city-taxes. The rent can be paid in instalments or the whole amount in advance. The deposit is E 300,- Accommodation is provided for the duration of the entire period you applied for. It is not possible to end the tenancy agreement prematurely by giving notice of termination. No reduction will be given upon late arrival or early departure. * In the rooms at van Leeuwenhoeksingel, Houttuinen and Kanaalweg is no internet available. These are only temporary rooms. Accommodation fees (pricelevel July 2008) Type of accommodation

Contract less than 6 months

Contract > than 6 months < than 11½ month. 10% discount

Contract 1 year 20 % discount

Semester price 1 Sept. 2008 – 31 Jan. 2009

Semester price 4 Febr. 2009- 31 July 2009

Room in a group of two or three

App. € 394,- until € 442,- per month

App. € 361,- until € 405,- per month

App. € 328,- until € 368,- per month

App. € 1805,- until € 2025,-

App. € 2166,- until € 2430,-

Marcushof/ Binnenhof

App. € 384,- until € 438,- per month

App. € 352,- until € 402,- per month

App. € 320,- until € 365,- per month

App. € 1760,- until € 2010,-

App. € 2112,- until € 2412,-

studio App. € 456,- until € 498,- per month

App. € 418,- until € 457,- per month

App. € 380,- until € 415,- per month

App. € 2090,- until € 2285,-

App. € 2508,- until € 2742,-

ALLOCATION Although we take your preference into account, we reserve the right to allocate you to another room. We will allocate a room on a first come first served base. Please be aware that we have a limited amount of each type of accommodation.

DEPOSIT REFUND The deposit will be refunded in cash euros on the day of your departure by returning the keys. Costs that have to be made by Stichting DUWO for repairs or damages to the property or inventory, caused by the tenant will be deducted from the deposit.

RESERVATION Please send this form at least three months before your requested arrival date to: The housing coordinator of your faculty at TU-Delft. They need to fill out the last part of this form. --------------------------------------------------------------------------------------------------------------------- NOT TO BE FILLED IN BY THE STUDENT !!!!

Particulars of the faculty of TU Delft:

Faculty…………………………………………………………………………………………………………………

Name of housing co-ordinator………………………………………………………………………………………….

Telephone……………………………………….Email ………………………………………………………………

Please note that the last option of payment can only be filled in by Non EU students who have applied for a visa through the international office. In this case, send a copy of the application form to the International office at Jaffalaan 9a. Date: ………………………. Signature housing co-ordinator ………………………………

Computer engineering

ASSOC. PROF RADI ROMANSKY

003592 965 32 95 [email protected]