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

Surname(s)(*)
Please fill your surname(s).
Name(*)
Please fill your name.
Gender(*)
Passport Number(*)
Please fill your passport number.
Date of Birth(*)
Please select your date of birth.
Mobile phone number(*)
Please fill your mobile phone number.
Telephone number(*)
Please fill your telephone number.
Email(*)
Please fill your email.
Nacionality(*)
Please select your nationality.
Home Address
Post Code
City
Country
Reason for your stay at the UA
Indique su User Name(*)
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
Would you prefer to live with a non-smoking family?
Would you mind living with a family with small children?
Would you mind living with senior citizens?
Do you prefer a vegetarian diet?
Do you mind if there are pets in the house?
If there are any special circumstances which would require special consideration and/or would affect shared accommodation (for example, allergies, type of diet, medication, etc.), please give 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:
€85 administrative fee + €300 accommodation deposit = TOTAL €385 

2.- For booking the pick-up service, you should pay:
€385 accommodation + €55 pick up = TOTAL €440

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
  • Current Account Number: 0049 6659 03 2816134203
  • Swift Code: BSCHESMMXXX
  • IBAN Code: ES46 0049 6659 0328 1613 4203
  • Please check that the amount transferred free of charge corresponds to the price of the accommodation
    Said inscription will not be considered 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:
You must attach the proof of payment.
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 human, please enter the result of the following sum:

20 + 18 =