ACCOMMODATION REQUEST FORM - ENSIIE STUDENTS

Civility (required)
MrMrs
Surname

Name

Nationality

date of birth

format : dd/mm/yyyy
personal email

VERY IMPORTANT : We will use this address to communicate essential information to you; You are solely responsible if you ignore them. Make sure you do not block receipt of our emails (spam filter).
Personal Phone

Family Address

Postal-code

Town

Country

GUARANTOR INFORMATIONS
Civility (required)
MrMme
Guarantor Surname

Guarantor Name

Guarantor Nationality

Guarantor email

VERY IMPORTANTGuarantor personal email : We will use this address to communicate essential information to you; You are solely responsible if you ignore them. Make sure you do not block receipt of our emails (spam filter).
Guarantor phone number

Guarantor Address

Guarantor Postal-Code

Guarantor Town

Guarantor Country

INFORMATIONS ADHESION
Your school
ENSIIE

Arrival date

format : dd/mm/yyyy
(among the opening days and hours of our offices)
Monday to Thursday from 1:30 p.m. to 5:30 p.m. - Friday from 1:30 p.m. to 4:30 p.m.
Desired arrival times

"BANK DETAILS"

COMMITMENT (required)
In the event of inaccurate information, admission may be refused; Admission is only effective after signing your membership contract
I certify on my honor the accuracy of the information communicated and that I have read the MAISEL SudParis Operating Charter.

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