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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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Note: Those who are staying in Single bedroom in d'belle will get a single w/o bathroom in 72 apartment. However, if you wish to upgrade to Single with bathroom, you may top up RM100 per month.

I would prefer to share with:

Check in date

Tenancy Period

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**For bookings under 1 year, please contact us at +60143088680.

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

TERMS AND CONDITIONS

1. The Hubridy “Free Upgrade to 72 Residences" is open ONLY to current tenants registering with Hubridy at d’Belle              suites.


2. This promotion is ONLY applicable for tenureships of 12 months, excluding final year student and exchange students.
 

3. This promotion will start from 1st December 2020 until 31st December 2020. ("Promotion Period").

 

4. By entering this "Free Upgrade to 72 Residences" campaign, tenant will be deemed to have accepted and will be bound

    by these terms and conditions ("Terms and Conditions") and by any other requirements set out in related promotional

    materials. These Terms and Conditions prevail in the event of any conflict or inconsistency with any other 

    communications, including advertising or promotional materials.

5. Your existing tenancy agreement will be renewed for a minimum one year. 

6. Hubridy reserves the right at its absolute discretion to vary, delete or add to any of these Terms and Conditions without      any prior notice.

7. Other Terms and Conditions as stipulated in the Tenancy Agreement still applies.

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 agreed 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.