Technical University of Denmark ACCOMMODATION FORM For Exchange Students

This form must be filled out electronically and returned by e-m ail to the Accommodation Office . acco@adm.dtu.dk . Deadline for applying for accommodation is May 15th for Autumn semester and guarantee you accommodation. We are November 15th for Spring semester. Be aware that we cannot sending inform ation to y our DTU student e-mail (sXXXXXX@student.dtu.dk) so please check it! Questions can be addressed to acco@adm.dtu.dk (reply time can take up to one week during busy periods).
CampusNet login number (student number) :
First name (full name): Family name (full name):

Nationality:

Male Female

Date of birth:

___ / ___ / _____

(day) (month) (year)

Home address: If you are taking your mobile to Denmark, please indicate your number:
(street/number) (postal code, town)

E-mail:

(country )

Information of special interest for the accommodation (smoker/non smoker, allergies, etc.) Also please indicate if you are bringing a car with you to Denmark): Sending university / country and specialization: Socrates code for home university:

Please state if you are enrolled for an Exchange Programme at DTU in order to write a Master Thesis or make a Special Project . State the department and name of your supervisor. If you will be studying at the Ris Campus in Roskilde, please indicate for how long: Priority list of accommodation (please notice this is only a guideline for the Accommodation Office, we cannot guarantee to fulfil your wishes). Fill with numbers 1-7 (1=highest priority), more information about rooms on Accommodation Office web-page ( http://www.dtu.dk/English/education/Exchange/Accommodation.aspx ). Would you like to live: Room in a student house Room with a private host/family Campus Village Halls of residence Kagsaa Kollegiet Tingbjerg Kollegiet Vilhelm Jrgensens Guesthouse Kokkedal student apartment If you like to live close to a friend, please state the name of the friend below:

If you like to live together (double room) with a friend, please state the name and student number of the friend (friend must be DTU student):

I would like accommodation from ___ / ___ / _____ to ___ / ___ / _____. Please note that accommodation will be booked for max. 2 semesters, and for one person.
(day) (month) (year) (day) (month) (year)

Please indicate if you are participating in the introduction week (introduction week starts Tuesday, August 28th, 2012). Date form filled and sent: ___ / ___ / _____
(day) (month) (year)

Date received (filled by Accommodation Office): ___ / ___ / _____