Ruhr-Universität Bochum
Dezernat 2/Welcome Center
Gebäude SSC 1/223
Universitaetstr.150 ,44801 Bochum, Germany
Beate Seidemann
Tel.: +49(0)234 32 – 22279
Fax: +49(0)234 32 – 14640
E-Mail: [email protected]
Application for Guest Houses of Ruhr-Universität Bochum
Personal Data of the Guest:
Family Name: _______________________
First Name(s): _______________________________
Sex:
Date of birth: ________________________________
 Female
 Male
Nationality: ________________________________________________________________________
Home Address: ____________________________________________________________________
E-mail: ___________________________________________________________________________
Accompanying persons: _____________________________________________________________
Number and age of accompanying children: ____________________________________________
Invoice:
 self-pay
 insitute
Supported by (programme/organisation): _______________________________________________
Hosting Institute:
Name of Hosting Institute:___________________________________________________________
Address: __________________________________________________________________________
Contact person at RUB: ______________________________________________________________
Telephone-No.: __________________________ E-mail: ____________________________________
Planned duration of your exchange from:_______________ until: ___________________________
Rooms are rented for entire calendar months only; max. stay 12 months
Guest Houses
 1-room – Apartment (approx. 22-51 sqm suitable for one person)
 2-room – Apartment (approx. 42-63 sqm; suitable for 1-2 persons)
 3-room –Apartment (approx. 65-75 sqm; suitable for 2 persons or a family; two bedrooms)
 1-room in a shared flat (approx. 12-25 sqm; own apartment; shared kitchen & bathroom)
My preferences/comment:
______________________________________________________________________________________
______________________________________________________________________________________
(Here you can note if you have any preferences concerning your accommodation, e. g. a special Guest House. We try to reserve
the required room for you but cannot give a guarantee.)
___________________
Date
___________________________________
Signature of applicant
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