ACCOMMODATION CERTIFICATE

I, the undersigned (NAME First name) …….……………………………………………………………….. born on ……….

…………… …………………….. at ……………………………………………… nationality…………………………………
profession…………… …………………………… residing at ……...
……………………………………………………………………………… ...

…………………………..…………………………………………………………………………...

- National identity card or passport n° ……...…………………………….. issued on …………………………………...

By ………………………………………….. (name of issuing company)

COMMIT ME TO HOST

Mr / Mrs ……………………………………………………………………………………. born on ……………………………………….. at

………………………………………………........ throughout the duration of his stay in Germany certifying that he
has sufficient space to do so.

It is recommended to produce:

- A copy of his residence permit or a copy of his identity card or his valid passport - A proof of address
which can be a receipt for water, electricity, gas or a rental lease.

At …………………………………………… on …………………………………….

“Read and approved” Signature of respondent

⚫registration fee 100€ paid to the account of the general hosting company

IMPORTANT NOTICE :

Pursuant to Article 154 of the Penal Code, anyone who has been unduly issued, either by making
false statements or by taking a false name or a false capacity, either by providing false information,
certificates or attestations, a permit, certificate, booklet, card, bulletin, receipt, passport, laissez passer
or other documents issued by public administrations in order to ascertain a right, identity or quality or
to grant authorisation.