My Holiday

PLEASE ATTACH PHOTO

For office use:

Department of Student Housing: Admission and Placement Office/Off Campus Tel: +27 41 5043690 Email: offcampus.accommodation@nmmu.ac.za

Date received:……………………….. Deposit : PAID□ NOT PAID□

APPLICATION FOR OFF-CAMPUS ACCOMMODATION
Please note that this application can only be considered after your application for admission to the university has been approved. Student Number: Academic Activities Qualification you will be pursuing……………………………………………………………..……………………………………………………….. (e.g. Degree – Bcom: Marketing) Academic level of study (first year, senior, B Tech, Honours, Masters or Ph.D)………………………………………………………………….. Personal details Title…….. Initials…………. Surname……………………………………………First name(s) in full…………………………………….………… Date of birth………………………Age…………… Passport No.…..……………………………………Marital status…………………………… Nationality………………………………………………….. ……..Home Language……………………………………………………………...….. Residential Address (country of origin)…………………………………………………………………..……………………………………………. ……………………………………………………………………………………………………………………………………………………………… Postal address (country of origin)……………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………….. Telephone numbers: Home…………………………………………………………cell……………………….…………………........................... Other………………………………………………… e-mail……………………………………………………………………………………………. Have you previously been registered at NMMU? Yes□ No□ Population Group (information required by the Department of Education)

□ White
Gender : Male

□ Coloured □
Female

□ Asian

□ Black

□Other

If other, please specify…………………………………………………………………………………………………………………………………..

□

Accommodation options (see website for details www.nmmu.ac.za/accommodation/offcampus) Option 1…………………………………………………………… Option 2…………………………………………………………………………… Option 3…………………………………………………………… Would you share with other cultures? Please indicate if you would like to share accommodation with another student Student...