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Application to stay outside hall
Please fill up the information correctly and carefully. The information will be verified. Providing wrong information will cancel your application.
* Indicates required question
Email
*
Record my email address with my response
Name
*
Your answer
Student Number
*
Your answer
Mobile number:
*
Your answer
Building
*
Old building
New building (North block)
New building (South block)
Room No.:
*
Your answer
Name of Degree
*
Your answer
Level
*
Your answer
Semester
*
Your answer
Reason to stay outside:
*
Your answer
Date of leaving FMH for outside stay
*
MM
/
DD
/
YYYY
Tentative date of arriving FMH from outside stay
*
MM
/
DD
/
YYYY
Address of stay during this time
*
Your answer
Phone number of guardian(only legal guardian):
*
Your answer
Relationship with guardian (only legal guardians):
*
Your answer
A copy of your responses will be emailed to .
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