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Park Mews Application Form
Please complete the application form to process your accommodation request
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Surname
*
Your answer
Contact Cell Number
*
Your answer
ID / Passport Number
*
Your answer
Student Number
*
Your answer
Gender (for room placing purposes)
*
Male
Female
Place of Study
*
Wits
UJ
Johannesburg Central College
Other
Year of Study in 2024
*
1st
2nd
3rd
4th
Honours
Post-Graduate
Course studying
*
Health Sciences
Medicine
Education
Bachelor of Commerce (including Accounting)
Engineering
Humanities
Law / LLB
Bachelor of Science
Other
What type of room do you require?
*
Single
Sharing
Who is paying for your accommodation?
*
Private (Parent/Sponsor)
NSFAS
Bursar
Name of Bursar
Your answer
Parent Names
*
Your answer
Parent Contact Details (for emergency purposes)
*
Your answer
How did you find out about us?
*
University
Word of Mouth
Google/ Internet search
Social Media
Flyer/ Pamphlet
Building
Residential Address (Home Address)
*
Your answer
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