UniGardens booking / application form, continued

Application form, part 2 of 2

Current home address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Identification

Passport/ID number

Australian visa number

Parent/Guardian name

if under 18 y.o. at time of arrival

First Name

Last Name

Emergency contact

Emergency contact name

First Name

Last Name

Emergency contact e-mail

Emergency contact phone number

Canberra university accommodation, UC and ANU housing, UNSW and ACU student
apartments in Belconnen

Unigardens university student apartments | 101 Hennessy St, Belconnen, ACT, 2617, Australia