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Please complete the form that follows to begin your Gold Coast accommodation booking.
[* = Required Information]

Personal details:


First Name: *
Last Name: *
Gender:
Nationality:
Date of Birth:

Home University: * (i.e. which university are you currently enrolled in?)

Your Australian Study Location:
Location:

Your Email Address: *
Your Phone: *
Your Mobile:

Home Country Permanent Address:
Address: *
Suburb/Town: *
State: *
Postcode/Zipcode: *
Country: *

Which Australian university will you attend?

What campus will you attend?

What areas will you be studying?


What is your apartment preference:


Gold Coast Premium Apartment:

Single room, 2-bedroom apartment

Shared room, 2-bedroom apartment

Gold Coast Standard Surfer’s Paradise Apartment:

Single room, 2-bedroom apartment

Shared room, 2-bedroom apartment
Name of person you would like to share with:

Gold Coast Standard Southport Apartment:

Single Room, 2- bedroom apartment

Shared Room, 2-bedroom apartment
Name of person you would like to share with:

Are there any other students you know that you would like to live with?
Please note they must also list your name on their Housing Reservation Form:

Arrival Date in Australia (if not known, estimated date):

Departure Date in Australia (if not known, estimated date):

What are your required housing dates:
From: *
To: *

Are there any other questions/concerns or special requests/comments you would like to make?

Next of Kin (Parent or Guardian):
Name:
Email:
Phone:
Address:
Suburb/Town:
State:
Postcode/Zipcode:
Country:
How did you hear about us?: