| Please provide the following
contact information: |
| First name |
|
| Last name |
|
| Home address |
|
|
|
| City |
|
| State |
|
| Zip/Postcode |
|
| Country |
|
| Home Phone |
|
| E-mail |
|
| Accommodation Information: |
Do you wish our
accommodation officer to arrange accommodation for you? |
|
Yes
No |
| If yes, please select
your choice |
|
Two Sharing in campus
Three Sharin in campus
Dormitory in campus |
| Please Specify your dietary requirement? |
|
Vegetarian
Non Vegetarian |
| Any special ditery requirment , please
specify: |
|
| Do you smoke? |
Yes
No |
Do you take Alcohol? |
Yes
No |
| Do you have an
allergies or medical requirements? |
|
Yes
No |
| If yes, please
specify |
|
| Please list an
hobbies or interests you enjoy: |
|
|
| Do you have any
special accommodation requests? |
|
|
|
|