Accommodation Form

Surname and Name

ID Number

Date of Birth

Student/Admission Number

Cellphone Number

Telephone Number

Qualification applied for?

Do you have any disability?

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Home address

Postal Address

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I have read and understood the terms and conditions regarding the accommodation contract

Surname and Name

ID Number

Cellphone Number

Telephone Number

I have read and understood the terms and conditions regarding the accommodation contract

Yes

If you Have Any Questions call us at 011-071-7171

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Hello...! My name is Cynthia from HillCross College, how can I be of assistance to you?