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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

APPLICATION FOR ADMISSION


Last name:
Date of birth:

First name:
Nationality:

Sex:
Religion:

Street, No.:

Postal code, city:

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:

Preferred date for moving in:

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.

....................................................
Place and date

........................................................
Signature of applicant

* All statements refer to the school and academic year for which the application is filled.

.............................................................
Signature of cost bearer

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