Housing Release Request

Housing Release Request is to be filled by students who prefer to

reside off campus.

Student Name: ___________________________ ID ________________

Release period Semester: __________Year_____

off campus address : ________________________________________

Mobile Phone: __________________

IMPORTANT:

I understand that Housing Release will revoke my residential

rights in AUI residences during the above mentioned period. I
further understand that I will not be allowed to spend the night in
any of the residences( On campus, city campuses) or to use the
residential facilities. Otherwise, I will be subject to disciplinary
action.

Date _______________________ Signature ____________________________