Student Applications Jan - May 25 - Glen Abhainn Village

PLEASE NOTE

We ask you not to send over the deposit until you have been offered and have accepted accommodation for the semester.

Students Details

Student Name*

Are you a returning student?*

Student Gender

Student PPSN*

If you do not have a PPSN please enter 0000

Date of Birth*

DD

MM

YYYY

Student Home Address*

Street Address City State / Province / Region Eircode Country

Student Mobile Number*

Student Email Address*

Car Make / Model & Reg

Name of Course*

Year of Course (1st / 2nd / 3rd etc..)*

Room Type*

Bed Type Request

Parent / Guardians (Guarantor) Details

Parent/Guardian Name*

Parent/Guardian Mobile Number*

Parent/Guardian Email Address*

Parent/Guardian Address*

Street Address City County Eircode Country

Car Reg if vehicular access will be required

Guarantor Confirmation*

In the event the tenant is unable to make their rent payment, the responsibility will fall to the parent / guardian / guarantor listed above.

Yes I agree

Special Requests / Room & Apt shares etc.

Please list any requests*

*These requests are not guaranteed although we will do our best to facilitate you. **Share requests must be put on both students forms.

To be included with all booking form:

Copy of students passport or driving licence.
Copy of Parent / Guardians passport or driving licence.

In the case of mature students with no guarantor:

Proof of income. i.e. bank statements or work reference.
ID documents – student car and passport/ drivers licence.

Upload Here*

Drop files here or

Do you agree to our Payment Policy Agreement?*

You can review our Payment Policy Agreement, please click -> HERE.

Yes I agree

*** Notice: due to the large number of apartments there can only be one nominated contact per booking. This can be the student or one parent/guardian. ***

Nominated Contact Person*

Student Applications Jan – May 25

PLEASE NOTE

Students Details

Parent / Guardians (Guarantor) Details

Special Requests / Room & Apt shares etc.