ACCOMMODATION APPLICATION FORM

Please use block capitals. Student application no. : UNIMKLFamily name : First name:

Passport /IC no : Gender : Male Single Female Married

Marital status : Home address:

Postcode : Home Telephone : Mobile : Fax :

Correspondence address (if different from above):

E-mail : Course : Intake : Choice Of Accommodation (Please list your preference, with 1 as your top preference) HALLS OF RESIDENCE (with estimated floor area) Single Ensuite Bathroom with air-conditioning @RM625 per student (inclusive of internet connection but with separate meter for air-conditioning usage payable by student). 13.23m2 per room. Single Shared Ensuite Bathroom with air-conditioning @RM565 per student (inclusive of internet connection but with separate meter for air-conditioning usage payable by student). 12.96m2 per room. Single Shared Ensuite Bathroom @RM465 per student (inclusive of internet connection). 12.96m2 per room. Single Shared Bathroom in 5 Room Flat with air-conditioning @RM535 per student (inclusive of internet connection but with separate meter for air-conditioning usage payable by student). 9.487m2 per room. Single Shared Bathroom in 5 Room Flat @RM435 per student (inclusive of internet connection). 9.487m2 per room. Twin Share in 6 Bedded Flat @RM410 per student (inclusive of internet connection). 12m2 per room.
(Revised : May 2011)

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Four Shared Bathroom @RM355 per student (inclusive of internet connection). 48.24m2 per room. Double Decker Shared Ensuite Bathroom with air-conditioning @RM425 per student (inclusive of internet connection with separate meter for air-conditioning usage payable by student). 13.23m2 per room. Double Decker Shared Ensuite Bathroom @RM375 per student (inclusive of internet connection) 13.23m2 per room.
NOTE : Where when on-campus accommodation is fully occupied, new students may be allocated at temporary off-campus accommodation (which include private dwellings and/or hotel).

Off Campus University Arranged Accommodation EDU SQUARE Premium Rooms (Ensuite bathrooms) 26m2 35m2 (suitable for 1 or 2 students) @ RM900 per student [*RM480 per student if twin share]. Superior A Rooms (Ensuite Bathrooms) 20m2 - 25m2 @ RM630 per student. Superior B Rooms (Ensuite Bathrooms) 14m2 - 19m2 @ RM600 per student. Standard A Rooms (Shared Ensuite Bathrooms) 12m2 - 18m2 @ RM525 per student. Standard B Rooms (Shared Ensuite Bathroom) 10m2 - 12m2 @ RM500 per student. HOUSE RENTAL I would like to rent: TTS 2 - Double Storey Terrance House. (maximum 6 students) TTS 5 - Double Storey Bungalow House (maximum 6 students) TTS 4 - WIFI Precinct House. (maximum 6 students) Each house is fully furnished with fully equipped kitchens. Rent ranges from RM1,500-RM2,000 per month. Utility bills are not included and no other services are provided except transport and grass cutting. Each house can accommodate 6-7 students depending on the number of rooms. There is a maximum to the number of students per house. For students with disabilities / specific requirements: To help us in allocating your accommodation, please indicate any special arrangements that you will need (e.g. assistance required, ground floor room, etc.) Students must read and agree to the attached terms, rules and regulations before signing this form. Signature : Date :

For submission of Accommodation Application Form, please fax or e-mail to: Fax: +6(03) 8924 8657/8924 8002 or E-mail: accommodation@nottingham.edu.my
(Revised : May 2011) Page 2 of 2