UNIVERSITY OF PATRAS

STUDENT HOUSING APPLICATION FORM

FOR THE LLP / ERASMUS STUDENTS
ACADEMIC YEAR 201..../........

First name(s) : Surname :

Nationality : Male  Female  Date of birth :

Home address :

ID Number / Passport Number:

Telephone: Fax:
E-mail:
Sending University:
Country :
Name of the Contact Person at the University of Patras :
……………………………………………………………………………………………....
Title :………………………………………………………………………………………..
Department: …………………………………………………………………………………..
Name of the Contact Person of the Sending University :
…………………………………………………………………………………………….
Title :………………………………………………………………………………………
Department: ……………………………………………………………………………….
I would like to stay preferably in:
Student Residence Hall (outside Campus) ……. (Sychaina Residence)
Student Residence Hall (outside Campus) ……. (new Residence- Kastellokampos)

I would like accommodation from ……./……../……….. to ……./……../……….

Date: ...................................... Student’s signature: ...........................................

This Application Form should be sent to the International Relations Office (University of Patras,
University Campus, 265 04 Patras, Greece, Tel. +30 2610-969028, Fax +30 2610 994441, email:
llp.incoming@upatras.gr )
no later than: October 30th for Spring semester and June 15th for Autumn semester
Passed the above dates no guarantee for accommodation is provided