HOUSING APPLICATION FORM

for
BA IRAS STUDENTS

I would like to receive a room in (please put an appropriate number from 1 to 3 next to
each of the student halls of residence listed below – according to your preferences -
where 1 means the most preferred):

DS. ŻACZEK ……………………………….

DS. NAWOJKA ………………………………

DS. PIAST ……………………………………

I accept that accommodation in one of Jagiellonian University Halls of Residence is

charged monthly (370 PLN a month + deposit).

Please note that places at the JU Halls of Residence are subject to availability and cannot
always be guaranteed to all applying students.

……………………………………………………..

(NAME, SURNAME)

…………………………………. ………………………………………….

(date) (signature)

PLEASE SEND A SIGNED SCAN to iras@uj.edu.pl