2016-2017

Application for choosing roommate(s) in Chan Chun Ha Hostel (2016-2017)

2016 7 8

Residents may indicate their choice of roommates by filling in the following table. Residents
of converted 3-bed rooms should choose roommates who have been assigned a place in same
type of rooms. Completed application forms should be submitted to the College Dean of
Students Office before 8 July 2016. For those failing to do so, their roommates will be
selected by computer draws.

Choose undergraduate as roommate(s)

/
Name Dept./Year Sex CUID Contact No
1.
Leung Shing Hei IBBA/3 M 1155062502 62008022
2.
Chan Yuk Ho IBBA/3 M 1155062503 62036375
3.

1. 2.
Signature :
3. Date

Choose exchange student as roommate

/
Name Dept./Year Sex CUID Contact No
1.

2.
Exchange student to be assigned by the College

:
Note

:
Signature Date