ACCOMMODATION FORM
FOREIGN INCOMING STUDENT

Academic year

STUDENT

Surname
(according to ID or passport)
First name
(according to ID or passport)

HOME ADDRESS

State
Town/City
Postcode
Street, House number

PERSONAL AND STUDENTS DETAILS

Date of birth
required format dd.mm.yyyy
Sex
Nationality
Passport number
ID (just for EU students)
Visa number
(residence permit; in case you have it)
Email contact
Home Institution
Host Institution
(in Czech Republic)
Name of coordinator in host Institution
(in Czech Republic)
Semester
Faculty
Type of the study

EXACT DATES OF YOUR STAY AT THE HALLS OF RESIDENCE

From The rent will be counted from the day of arrival
required format dd.mm.yyyy
To The rent will be paid for the entire month
required format dd.mm.yyyy
Purpose of stay

THE REQUIREMENT FOR A VISA

Confirmation of accommodation
for the visa
If yes, write name of city and country where is embassy where will you go ask for visa

REQUIREMENTS FOR ACCOMMODATION

Do you require single accommodation The single accommodation will be providen just if capacity allows.
Other requirements
(e.g. Put names of flatmates sharing double or tripple room)
(max 4 other flatmates)

TERMS AND CONDITIONS OF ACCOMMODATIONS:

  1. Send the valid accommodation application by 15.7. (winter semester – (Ws)) at the latest, or by 15.12 (summer semester (Ss)) to the e-mail address: accommodation@vsb.cz.
  2. You will be informed by e-mail about the decision regarding your acceptance by 20.8.(Ws) at the latest or by 20.1.(Ss). You will receive information regarding payment of a deposit to an amount of CZK 5000. The deposit must be paid by 31.8. (Ws) at the latest, or by 31.1.(Ss). The amount must on at our account at this time at the latest. Your claim for accommodation expires in case of non-payment of the deposit by this date. The deposit will be returned upon termination of accommodation and after payment of all outstanding debts.
  3. If you do not arrive for accommodation by the date of your accommodation form (or contract) . Please inform us regarding changes by 31.8.(Ws) at the latest or by 31.1.(Ss). If you will inform us by this date, we can return you the deposit.
  4. If you will not arrive by 30.9. (Ws) at the latest or by 28.2. (Ss) without any announcement, we will cancel your reservation and the deposit will be forfeited.

You can find further information about accommodation and the price list on the web page:
http://accommodation.vsb.cz/

I, the undersigned, confirm the truthfulness and completeness of the information above and am aware of the fact that all missing and untrue statements will result in the invalidation of my accommodation form. I do confirm, that I was familiarized with the terms and conditions of accommodation. With my signature, I indicate my agreement for manipulation and use of my personal statements for the purposes of managing the accommodation form and maintaining records regarding the accommodated subjects. The personal statements are kept in accordance with law no. 101/2000 , for 5 years at the longest.

Date 24.07.2019