Application Form Pouliou Residence

Accomodation Choices
ROOM TYPE*
FLOOR*
PAY BY*
Personal Info
NAME*
SURNAME*
MIDDLE NAME
Address*
Street Address City ZIP / Postal Code Country
TELEPHONE
MOBILE*
EMAIL*
DATE OF BIRTH*
DD slash MM slash YYYY
GENDER*
NATIONALITY
PASSPORT NO / ID NO*
COURSE OF STUDY*
UNIVERSITY*
YEAR OF STUDY*
Guarantor’s Info
NAME*
SURNAME*
Address*
Street Address City ZIP / Postal Code Country
TELEPHONE
MOBILE*
EMAIL*
DATE OF BIRTH*
DD slash MM slash YYYY
GENDER*
NATIONALITY
PASSPORT NO / ID NO*
Father’s Info
Father's Info
- Same as Guarantor
NAME*
SURNAME*
Address
Street Address City ZIP / Postal Code Country
WORK PHONE NUMBER
HOME PHONE NUMBER
MOBILE*
EMAIL*
NATIONALITY
PASSPORT NO / ID NO*
Mother’s Info
Mothers's Info
- Same as Guarantor
NAME*
SURNAME*
Address
Street Address City ZIP / Postal Code Country
WORK PHONE NUMBER
HOME PHONE NUMBER
MOBILE*
EMAIL*
NATIONALITY
PASSPORT NO / ID NO*
Choose your Extras
Choose your Extras
- Welcome Pack €350
- Parking €200
- Weekly Cleaning Service (add €12 on your weekly rate)
- Bi Weekly Cleaning Service (add €8 on your weekly rate)
Upload Documents
Upload ID
Drop files here or

Accepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 3 MB, Max. files: 2.
Upload Guarantor’s ID
Drop files here or

Accepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 3 MB, Max. files: 2.
Upload Utility Bill
Drop files here or

Accepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 3 MB, Max. files: 2.
Upload Personal Guarantee Letter
Drop files here or

Accepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 3 MB, Max. files: 2.
Upload Deposit Payment Slip*
Drop files here or

Accepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 5 MB, Max. files: 2.
By submitting this application you consent to the processing by the Landlord of your Personal Data collected as above, according to the applicable, from time to time, data protection legislation(s), and you hereby give your permission to the Landlord’s officials and/or administrative staff to contact you directly should they require any information and/or clarification regarding either your application to rent a room in The Med Student Residences or any subsequent arrangement.

Accomodation Choices

Personal Info

Guarantor’s Info

Father’s Info

Mother’s Info

Choose your Extras

Upload Documents