Application Form: SHORT STAY STUDIOS

1. Your Name

2. Your Email Adress

3. Your Phone number

4. Your Full Adress

5. Date of Birth

6. Please Upload Your Copy of ID

7. Are you
StudentWorking
8. Study Program / Job

9. Please Upload Proof of Enrollment/Income

10. Desired Duration of Stay (other options NOT possible)
—Kies een optie—Jan 1 - June 30Feb 1 - July 31March 1 - July 31
11. Desired Building (not guaranteed)
—Kies een optie—No PreferenceThe ElementsLage Barakken
12. Extra's (Please note: All-In Rent: €1095 p/m)
Premium (two people) + €155 p/mPrivate Garden + €100 p/m
13. Special Requests

I have read and agreed with Green Housings Privacy Policy (see: our policies)

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