Accommodation booking form

SECTION A: PERSONAL DETAILS

Name

Title

Gender

Contact number

Address

Religion 

IC/ Passport number

Country of residence

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Passport expiry date

Date of birth

Student ID

Email

Country of citizenship

Do you have any medical condition that requires the attention of the university?

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SECTION B: PROGRAM INFORMATION

Name of program offered

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Name

Gender

Title

Date of birth

Student ID

Contact number

Email

Address

Religion

IC/Passport number

Country of residence

Country of citizenship

SECTION C: EMERGENCY CONTACT

Name:

Telephone:

Relationship:

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Language spoken:

SECTION D: ACCOMMODATION PREFERENCE
OFF CAMPUS

Accomodation preference

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I would prefer to share with:

Check in date

Tenancy period

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All price stated is for a minimum 1-year contract. For bookings under 1 year, please contact us at +6014 3088680 or email us at hubridycompany@gmail.com.

Reminder: Please refer to the attached Rental and Tenure Options table for details. Hostel fee is to be paid on a monthly basis.

BOOKING FEE

Please include with your application the RM500 booking fee for your off-campus accommodation.

Please take note that the booking fee is to be offset against the Total Payable once student move into the reserved accommodation. For payment method, please refer to the attached Information for Applicants.

GENERAL PRIVACY STATEMENT

The information collected on this form is to process your accommodation booking request. The information is processed in accordance with the Personal Data Protection Act (PDPA) 2010. It is only disclosed to third parties with your consent or to meet statutory obligations.


By signing this form, you agree to be subject to the Privacy Collection Notice of the University and have consented to the processing and disclosure of your personal data for the fulfilment of this contract.

SECTION E: DECLARATION

By ticking this box I confirm my accommodation booking, and agree to abide by the terms and conditions stated. I also acknowledge that I have read the Information for Applicants and certify that all information provided is true, accurate and complete. Together with this booking form, I include a sum of RM500.00 as payment in the form of 

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Please take note that you will be advised on your booking of accommodation by written confirmation within 5 working days.

PAYMENT DETAILS

Kindly make the booking fee payment (RM500) to:
Account Name: Hubridy Company
Bank Name: Maybank

Account Number: 5112-3413-2337 

Payment Reference: (your name)_(accommodation preference)

Swift Code: MBBEMYKL

Here is the link to respective bank:

Once payment done, kindly attach the receipt in the file below:

Choose file