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KOLPINGHAUS GRAZ
8010 Graz, Adolf-Kolping-Gasse 4 - 6
Tel: +43(0)316 829470, Fax: DW 560
E - m a i l : o ff i c e @ ko l p i n g - g ra z . a t
First name:
Nationality:
Sex:
Religion:
Street, No.:
Telephone:
E-mail:
Student:
Name of university, college:
Semester:*
Subject:
Pupil:
Name of school:
Telephone:
Form:*
Subject area:
Parents (Guardian):
Name:
Occupation:
Address:
Telephone and e-mail:
Cost bearer:
Announcements to Kolpinghaus:
All my statements on this application form are true and correct. I declare that I have read, understood and will
accept the House Rules and Payment Regulations and fully agree to abide by them. I am aware that moving into
Kolpinghaus Graz does not constitute a tenancy. This agreement is only validated at the time the applications
parents enter the contractual payment obligations.
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Place and date
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Signature of applicant
* All statements refer to the school and academic year for which the application is filled.
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Signature of cost bearer