Date of Entry: ____________________ Received on: ___________________

Do not write this section!

Date of Departure: _________________ Room Number: _________________

MIU Dormitory Application (Fall 2021)

INSTRUCTIONS

1. Download the applications from "the Wise system / Website" or obtain a copy from MIU/LEI/MIS Student Affairs and submit t
completed application and Regulation form(signed) through EMAIL! Email Address: praise_home@miu.edu.mn (email only)
Title as" Dorm Fall21-your name"

2. The list of the students admitted to the dorm will be notified through email

STUDENT INFORMATION
Name Family Name Given Name
(as written
in the passport)
Male Female MIU (Student ID) LEI (Student ID)
Gender Student ID
(check one)

If you are an MIU student, what year are you in? 1 2 3 4

If you are an MIU student, which department are you in?

Passport
Citizenship
Number
Month Day Year
Date of Birth Place of Birth

Phone Email Address

Number (write clearly)

Home
Address
Contact # in Home Country Relationship:
Emergency Contact
(country code + area code) Phone #:

ARRIVAL INFORMATION
Date of arrival at the dorm
Exemptions may be considered, However write down clear reasons to move in earlier Move in day: To be announced
than move in day!!!

Write the reason of applying for dormitory

1.

2.
ROOM/ROOMMATE PREFERENCES (This
does not guarantee your preference)
3.

I have read, understood and am in agreement with the Dormitory COVID-19 Guidelines (see the attached document) and th
all information provided is accurate and true to the best of my knowledge.

Signature of the applicant Date

 Received on: _____________________
Room Number: ___________________

y Application (Fall 2021)

Website" or obtain a copy from MIU/LEI/MIS Student Affairs and submit the
ugh EMAIL! Email Address: praise_home@miu.edu.mn (email only):

will be notified through email

Given Name

LEI (Student ID)

1 2 3 4

Relationship:
Phone #:

Move in day: To be announced

he Dormitory COVID-19 Guidelines (see the attached document) and that

best of my knowledge.

Date