DORMER’S RESERVATION FORM

A.TO BE FILLED OUT BY THE DORMER/ CLIENT

Name of Dormer: Castillano, Kyrstyn Joyce Bruno

Contact Number 1. 09369098675 2. ______________________ 3. _____________________

Present Address: General Trias, Cavite

Provincial/ Permanent Address: General Trias, Cavite

School/ Reviewee (if student): Adventist University of the Philippines Course: Medtech

Company (if working) ______________________________ Contact Number:______________________

Preferred Type of Room: Room for 2 ____________

Room for 4 ____________ Upper Deck _____________ (if available)
Room for 6 ___________ Lower Deck _____________ ( if available)
Room for 8 ______✅______
Room for 10 ____________

Lease Term: Long Term: ________ (minimum of 6 months to 12 months)

Short Term ____✅____ (minimum of 1 month to 5 months)

Intended Move-in date: ____________ Move-in Time Strictly 9:00am to 3:00pm only (Except Sunday
and Holiday)
I, Kyrstyn Joyce B. Castillano, understood the reservation terms of DormTel Inc.:

1. DormTel personnel will assign room and bed depending on the availability at the time that I
have made my reservation.
2. That If I failed to move-in on the date that I have specified in my reservation form, I will be
given another three (3) working days to move-in and after the grace period given to me and
I still failed to move- in, I understand that my reservation fee shall be forfeited.
3. I accept and understand that should I decide to cancel my reservation with DormTel Inc., I
only have Three (3) working days from date of reservation within which to cancel, or my
reservation is deemed confirmed. If I made the cancellation within Three (3) working days, I
will get 80% refund of the total amount that I have paid and 20% thereof shall be forfeited
as service charge.
4. My claim for refund shall only be allowed if I am able to return the original receipt that was
issued to me as proof of my reservation payment. Without a receipt, I cannot claim for a
refund.

CASTILLANO, KYRSTYN JOYCE B.

_____________________________
Client’s Signature over Printed Name
*************************************************************************************
B. TO BE FILLED OUT BY D.O./ D.S.

Assigned Room: ________________ Bed Letter : _______________ Rate per month: P______________

List of for payments upon move in:

One Month Security Deposit: P________ (to settle upon reservation)

One Month Advance Rent: P________ (to settle on move in date, applicable on the last
month of Lease-Contract)
Others: P ________ (Details: _______________________________)

TOTAL AMOUNT FOR PAYMENT: P _________ (to be completed before move-in date)

Processed by: DO/DS __________________________

(Signature over Printed Name)