Student Holiday Accomodation

 

STUDENT INFORMATION :  This section to be completed by the student

 

Name:

Surname:

Gender:

Email Address:

Student number:

Disabilty:

if YES, Specify:

Cell Number:

Current Res:

Other Res:

If Yes, Spercify:

Room Number:

Faculty:

ACCOMMODATION REQUIRED:

Date in

Dateout

REASONS FOR REQUESTING ACCOMMODATION

(A letter with the letterhead of the university should be obtained from Lecturer, Faculty Administrator, Head of Department/School and attached to this application form)

Signed by:

Date:

 

Rates per night: R30.00

Account Number for Payment at the Nelson Mandela University Cashiers: 5741 4420

Documents to be Submitted

Upload:

Letter from the Faculty (Lecturer, Faculty Administrator, Head of Department/School) or Exam Timetable (with the University Letterhead):

Proof of Payment (Correct account and date):

Antispam: