REGISTRATION 2012-2013

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Summer Programme Reservations

2012 Summer Programme registration form. Sending this form does not entail any obligation for the applicant.

1st surname*
2nd surname*
Name*
Sex*
Id. Card/Passport (number and nationality)*
Date of birth (Day/Month/Year)*
Address*
P.C.*
Town/City*
Telephone*
Telephone 2
Country*

E-mail*
Confirm the e-mail address*

If you KNOW, I wish to share a double room with
Estimated level of Spanish language knowledge*

Date of arrival at the Halls of Residence (Day/Month/Year)*
Date of departure (Day/Month/Year)*

Observations

All marked ()fields must be completed

Contact address

Calle Esports, 1-7.
08017 Barcelona
T. 93 206 55 40 | F. 93 204 08 52

Copyright 2012. Sarrià Residència Universitària: College Student Residence in Barcelona

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