Centro Superior de Idiomas
Universidad de Alicante
ESPAÑOL | ENGLISH | 日本語
+34 96 590 3793
aloj@csidiomas.ua.es
Centro Superior de Idiomas
ESPAÑOL | ENGLISH

+34 96 590 3793
aloj@csidiomas.ua.es
fondo

Accommodation Application Form

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PERSONAL DETAILS

(*) MANDATORY FIELDS

Last name(*)
Last name is required.
First Name(*)
First name is required.
Gender(*)
Please choose an option.
ID/Passport Number(*)
ID/Passport Number is required.
Date of birth(*)
Date of birth is required or format is wrong (yyyy-mm-dd).
Mobile phone number(*)
Please fill your mobile phone number.
Telephone(*)
Telephone is required.
Email (must be unique)(*)
Email is required.
Confirm Email(*)
Please confirm your email.
Nacionality(*)
Nacionality is required.
Reason for your stay at the UA(*)
Start Date of the Course(*)
Please select the start date of the course.
End Date of the Course(*)
Please select the end date of the course.
Do you need a certificate of accommodation to obtain your visa?
Please enter details of who to contact in the event of an emergency
Name(*)
Telephone Number(*)
Email(*)

ACCOMMODATION
ACCOMMODATION RESERVATION DATES
We remind you that you must request it 30 days before your arrival.
To confirm availability for before 30 days, contact directly with aloj@csidiomas.ua.es.
Date of arrival(*)
Please select the date of arrival.
Date of departure(*)
Please select the date of departure.

TYPE OF ACCOMMODATION REQUESTED

Please indicate your preference:
Sharing with (Please enter name and surname)
Kind of board
PERSONAL PREFERENCES YES NO
Are you a smoker?
Do you mind others smoking?
Do you mind children at home?
Do you mind old people at home?
Are you vegetarian?
Are you vegan?
Are you celiac?
Do you mind pets at home?
Do you have any kind of allergy?
If so, specify:
Are there any circumstances that require special attention and/or directly affect the type of accommodation you need? Please provide details:
Observations

PICK UP SERVICE

Do you require a pick up service from your point of arrival to your accommodation?

In order to continue with your pick up reservation we need you to provide us with the following information, if you have it:

Date of arrival
Time of arrival
Place of arrival
Flight/Train number

PAYMENT METHOD
Payment does not guarantee availability.

IMPORTANT. PROCEDURE:

1.- Pay the reservation fee:
€90 administrative fee + €300 accommodation deposit = TOTAL €390 

2.- For booking the pick-up service, you should pay:
€390 accommodation + €55 pick up = TOTAL €445

3.- Payment method:

  • Account holder: Centro Superior de Idiomas de la Universidad de Alicante, S.A.U.
  • Bank: Banco Santander
  • Branch: Plaza de los Luceros, 1 03001 Alicante
  • Account Number: 0049 6659 03 2816134203
  • Swift Code: BSCHESMMXXX
  • IBAN Code: ES46 0049 6659 0328 1613 4203
  • Please check that the amount transferred, after bank charges have been paid, corresponds to the accommodation fee.
    This application form will not be effective until the proof of payment is attached to this form.
Important:
  • When making the bank transfer or payment, ensure that the following appears: “ALOJ + Surname(s), Name (of student)”
  • Ensure that bank charges are met by the payer.
4.- Send the proof of payment:
Attach payment(*) (Max. size 5Mb) (pdf | jpg | jpeg | png)
You must attach your payment proof.
You must accept the general terms and conditions of the accommodation service.
You must accept the conditions of the General Data Protection Regulation.

To verify that you are not a robot, please type the answer to the following addition problem:

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