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1. Applicant
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Surname*
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Name*
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Date of birth*
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Citizenship*
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male
female
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Home address
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Country*
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Zip code*
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Place*
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Street*
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Phone
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prefix
Nr.
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| Phone (Mobil) |
prefix
Nr.
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| e-Mail* |
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Occupation*
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YesNo Type
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2. Parents
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Father
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Surname*
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Name*
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Occupation*
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Monthly income
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Mother
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Surname*
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Name*
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Occupation*
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Monthly income
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Other family income:
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Type and amount
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Monthly income
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3. Siblings unprovided for
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Name/Age/School
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Name/Age/School
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Name/Age/School
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4. Current education state of the applicant
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| 4.1 Beginning of studies |
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School leaving exam passed at
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Date:
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School:
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Planned study course
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College
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Study begin
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4.2 Already registered
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College
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Course of Study
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Number of terms that can be taken into account
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Number of terms that CAN'T be taken into account
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Study part
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Current address at study place
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| Country |
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| Zip code |
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| Place |
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| Street |
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| Phone |
prefix
Nr.
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| e-mail |
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| I have already lived in a dormitory |
YesNo |
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Address of the Dormitory
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| Country |
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| Zip code |
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| Place |
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| Street |
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Notes:
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Planned accomodation
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I need an accomodation in a dormitory
(please select one ore more planned accomodation) |
Studentinnenheim Hainburgerstraße
24a, 1030 Wien
Haus Margareten Margaretenstraße
30, 1040 Wien
Studentenheim Hirschengasse 23, 1060
Wien
Haus Vindobona Skodagasse 20/Laudongasse
36, 1080 Wien
Georg Weissel Heim Säulengasse 18, 1090
Wien
Studentenwohnhaus Tendlergasse 12, 1090
Wien
Studentenheim Starkfriedgasse 15,
1180 Wien
Studentenwohnhaus Handelskai 78/Stiege
7, 1200 Wien
Dr. Hertha Firnberg Studentenwohnheim Forsthausgasse
2-8, 1200 Wien
Dr. Paul Schärf Heim Lorenz Müller Gasse 1A,
1200 Wien
Haus Panorama Brigittenauer Lände 224, 1200
Wien
Haus Dr. Schärf Lorenz Müller Gasse 1, 1200 Wien
Studentenwohnheim Forsthausgasse 16-20/2, 1200
Wien
Ernst Höger Studentenwohnhaus Viktor Kaplanstraße
11, 2700 Wr. Neustadt
Studentenwohnhaus St. Pölten
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| from* |
Datum:
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I explicitely acknowledge that
- The assignment of dormitory place depends on the data being correct
and fully filled in.
- It is necessary to comply to the Student Dormitory Law, Usage
Contract including addendums and various Dormitory Policies in order
to live in a dormitory.
- My data will be processed electronically (§ 22 Data Protection
Act)
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