send to:

aufnahmeantrag@studentenwerkdarmstadt.de
Studentenwerk Darmstadt – Accommodation Service - Alexanderstr. 4 - 64283 Darmstadt

Application for Accommodation

Applicant no.: _______________________________ Received: _______________________________
(entered by Studentenwerk) (entered by Studentenwerk)

Personal details: I am currently studying or intend to study

Name: ___________________________

✔
at Technische Universität Darmstadt (TUD)

First name: ___________________________
at Hochschule Darmstadt (h_da)

Date of birth: ___________________________
at Studienkolleg Darmstadt (STK)

Sex: female
/ male
✔ Have you already lived in a student residence run by

Nationality: ___________________________ Studentenwerk Darmstadt?

Marital status: single
✔ / married

yes: since

✔

no
Home address: Address during semester (if different to home address)

Street: ___________________________ Street: ___________________________

Post code, town: ___________________________ Post code, town: __________________________

State: ___________________________ Phone: ___________________________

Phone: ___________________________

e-mail: ___________________________ Mobile: ___________________________

(The application cannot be processed if no email address is given)

I hereby apply for accommodation in a single room/one-room flat

(maximum of 3 options may be chosen)

Maximum rent limit (including heating): _______ EUR Preferred date for moving in: ______________
(from 1st of month)

Single room in corridor group: Single room in flat share: Single flat:

Riedeselstr. 64
Riedeselstr. 64
Riedeselstr. 64

✔ Schloßgartenstr. 1
Pallaswiesenstr. 57
Lichtwiesenweg 9


✔ Nieder-Ramstädter-Str. 187-191 A
Neckarstr. 15
Alexanderstr. 39


✔ Heinrichstr. 55
Lichtwiesenweg 9
Eschollbrücker Str. 2-4

Poststr. 1
Poststr. 1

Berliner Allee 6-6C
Family accommodation:

one-bedroom-flat
three-bedroom-flat

I will inform Studentenwerk immediately of any address changes.

I hereby attest that the details I have given are correct and complete. I am aware that the Tenancy Agreement can
be terminated with immediate effect if false information has been given. I hereby confirm that I have read and
accepted the "General Terms of Tenancy", the "Allocation Rules" and the "House Regulations".

Data protection: I hereby give my consent to Studentenwerk Darmstadt storing my personal details purely for
internal purposes in accordance with the Hessian Data Protection Law.

Place, date: _________________________________ _________________________________

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