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Date of Birth
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Åland Islands
Albania
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Chile
China
Christmas Island
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Cuba
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Romania
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Samoa
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Western Sahara
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Notes: Only applicable for 2nd Year onwards...
Scan or Image of ID
Notes: Acceptable ID's are: Passport, Drivers Licence, Citizen Card, EU National ID Card, Birth Certificate... If you do not have this option available; you will be required to show a valid form of identification upon check-in.
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Address Line 1
Address Line 2
City
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Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
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Ecuador
Egypt
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Equatorial Guinea
Eritrea
Estonia
Ethiopia
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Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia (Republic of)
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States of America
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
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Property
*
The Foundry 1, Loughborough
The Foundry 2, Loughborough
Kingfisher Halls, Loughborough
The Block, Loughborough
Forest Court, Loughborough
Radmoor House, Loughborough
Tudor Studios, Leicester
The Hosiery Factory, Leicester
Shoe & Boot Factory, Leicester
Q Studios, Stoke-on-Trent
The Chapel, Huddersfield
Horton House, Bradford
Longside House, Bradford
Jubilee Court, Preston
The Box 2, Preston
Mandale Terrace, Stockton-on-Tees
Park Lane House, Sunderland
Norfolk Street, Sunderland
Millfield House, Sunderland
Room / Tenancy Lengths at The Foundry 1
*
Classic Studio Apartment (51 Week Tenancy)
Deluxe Studio Apartment (51 Week Tenancy)
Classic En-Suite Apartment (46 Week Tenancy)
Classic En-Suite Apartment (51 Week Tenancy)
Premier En-Suite (46 Week Tenancy)
Premier En-Suite (51 Week Tenancy)
Deluxe En-Suite (46 Week Tenancy)
Deluxe En-Suite (51 Week Tenancy)
Note: The amount displayed is for the duration of your tenancy.
Room / Tenancy Lengths at The Foundry 2
*
Deluxe Studio (51 Week Tenancy)
Deluxe Wet Room En-Suite (46 Week Tenancy)
Deluxe Wet Room En-Suite (51 Week Tenancy)
Classic En-Suite (46 Week Tenancy)
Classic En-Suite (51 Week Tenancy)
Premier En-Suite (46 Week Tenancy)
Premier En-Suite (51 Week Tenancy)
Deluxe En-Suite (46 Week Tenancy)
Deluxe En-Suite (51 Week Tenancy)
Note: The amount displayed is for the duration of your tenancy.
Room / Tenancy Lengths at Kingfisher Halls
*
Block A - Standard En-Suite (50 Week Tenancy)
Block A - Single Studio (50 Week Tenancy)
Block B - Standard En-Suite (50 Week Tenancy)
Block B - Single Studio (50 Week Tenancy)
Block C - Double Studio (50 Week Tenancy)
Block D - Double Studio (50 Week Tenancy)
Block E - Superior Studio (50 Week Tenancy)
Block E - 1 Bedroom Apartment (50 Week Tenancy)
Block F - Standard En-Suite (50 Week Tenancy)
Note: The amount displayed is for the duration of your tenancy.
Room / Tenancy Lengths at The Block
*
Standard Room (50 Week Tenancy)
Standard En-Suite (50 Week Tenancy)
Single En-Suite (50 Week Tenancy)
One Bedroom Apartment (50 Week Tenancy)
Note: The amount displayed is for the duration of your tenancy.
Room / Tenancy Lengths at Forest Court
*
Standard En-Suite (50 Week Tenancy)
Superior En-Suite (50 Week Tenancy)
Large En-Suite (50 Week Tenancy)
Note: The amount displayed is for the duration of your tenancy.
Room / Tenancy Lengths at Radmoor House
*
Mezzanine En-Suite (50 Week Tenancy)
Mezzanine Studio (50 Week Tenancy)
Standard En-Suite (50 Week Tenancy)
Superior En-Suite (50 Week Tenancy)
Large En-Suite (50 Week Tenancy)
Note: The amount displayed is for the duration of your tenancy.
Room / Tenancy Lengths at Tudor Studios
*
Classic En-Suite (46 Weeks)
Classic En-Suite (46 Weeks)
Classic En-Suite (51 Weeks)
Classic Studio (46 Weeks)
Classic Studio (51 Weeks)
Classic Wet Room (46 Weeks)
Classic Wet Room (51 Weeks)
Deluxe Studio (46 Weeks)
Deluxe Studio (51 Weeks)
Premier Studio (46 Weeks)
Premier Studio (51 Weeks)
Premier Luxe Studio (46 Weeks)
Premier Luxe Studio (51 Weeks)
Duplex Studio (46 Weeks)
Duplex Studio (51 Weeks)
Note: The amount displayed is for the duration of your tenancy.
Room / Tenancy Lengths at The Hosiery Factory
*
9 Bed Apartment (50 Week Tenancy)
8 Bed Apartment (50 Week Tenancy)
6 Bed Apartment (50 Week Tenancy)
5 Bed Apartment (50 Week Tenancy)
Note: The amount displayed is for the duration of your tenancy.
Room / Tenancy Lengths at Shoe & Boot Factory
*
7 Bed Apartment (50 Week Tenancy)
4 Bed Apartment (50 Week Tenancy)
6 Bed Apartment (50 Week Tenancy)
8 Bed Apartment (50 Week Tenancy)
5 Bed Apartment (50 Week Tenancy)
Note: The amount displayed is for the duration of your tenancy.
Room / Tenancy Lengths at Q Studios
*
Classic Studio (46 Week Tenancy)
Classic Studio (51 Week Tenancy)
Deluxe Studio (46 Week Tenancy)
Deluxe Studio (51 Week Tenancy)
Premier Studio (46 Week Tenancy)
Premier Studio (51 Week Tenancy)
Premier Luxe Studio (46 Week Tenancy)
Premier Luxe Studio (51 Week Tenancy)
Penthouse Studio (46 Week Tenancy)
Penthouse Studio (51 Week Tenancy)
Note: The amount displayed is for the duration of your tenancy.
Room / Tenancy Lengths at Horton House
*
Classic En-Suite (39 Weeks)
Classic En-Suite (46 Weeks)
Classic En-Suite (51 Weeks)
Deluxe En-Suite (39 Weeks)
Deluxe En-Suite (46 Weeks)
Deluxe En-Suite (51 Weeks)
Premier En-Suite (39 Weeks)
Premier En-Suite (46 Weeks)
Premier En-Suite (51 Weeks)
Premier Luxe En-Suite (39 Weeks)
Premier Luxe En-Suite (46 Weeks)
Premier Luxe En-Suite (51 Weeks)
Deluxe Studio (51 Weeks)
Note: The amount displayed is for the duration of your tenancy.
Room / Tenancy Lengths at Longside House
*
Deluxe En-Suite (39 Week Tenancy)
Deluxe En-Suite (46 Week Tenancy)
Deluxe En-Suite (51 Week Tenancy)
Premier En-Suite (39 Week Tenancy)
Premier En-Suite (46 Week Tenancy)
Premier En-Suite (51 Week Tenancy)
Deluxe Studio (51 Week Tenancy)
Note: The amount displayed is for the duration of your tenancy.
Room / Tenancy Lengths at The Chapel
*
Standard En-Suite (46 Week Tenancy)
Deluxe En-Suite (46 Week Tenancy)
Premier En-Suite (46 Week Tenancy)
Note: The amount displayed is for the duration of your tenancy.
Room / Tenancy Lengths at Jubilee Court
*
Deluxe En-Suite (46 Week Tenancy)
Deluxe En-Suite (51 Week Tenancy)
Premier En-Suite (46 Week Tenancy)
Premier En-Suite (51 Week Tenancy)
Deluxe Studio (51 Week Tenancy)
Premier Studio (51 Week Tenancy)
Premier Luxe Studio (51 Week Tenancy)
Note: The amount displayed is for the duration of your tenancy.
Room / Tenancy Lengths at Mandale Terrace
*
Classic En-Suite (44 Week Tenancy)
Deluxe En-Suite (44 Week Tenancy)
Premier En-Suite (44 Week Tenancy)
Note: The amount displayed is for the duration of your tenancy.
Room / Tenancy Lengths at Park Lane House
*
Classic En-Suite (46 Week Tenancy)
Classic En-Suite (51 Week Tenancy)
Deluxe En-Suite (46 Week Tenancy)
Deluxe En-Suite (51 Week Tenancy)
Note: The amount displayed is for the duration of your tenancy.
Room / Tenancy Lengths at Norfolk Street
*
Classic En-Suite (46 Week Tenancy)
Classic En-Suite (51 Week Tenancy)
Deluxe En-Suite (46 Week Tenancy)
Deluxe En-Suite (51 Week Tenancy)
Note: The amount displayed is for the duration of your tenancy.
Room / Tenancy Lengths at Millfield House
*
Classic Bedroom (44 Week Tenancy)
Classic En-Suite (44 Week Tenancy)
Deluxe Bedroom (44 Week Tenancy)
Deluxe En-Suite (44 Week Tenancy)
Note: The amount displayed is for the duration of your tenancy.
Tenancy Total
£ 0.00
Please Note: This total figure is for the duration of your tenancy and excludes a deposit which some accommodation providers may request.
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Notes: It is not always possible for us to meet these requests. If your date is not available, we will aim to get you a date as close as possible.
Booking Type
*
Solo
Group Booking
Group Booking Applicants
Note: For Group Bookings please specify the names of other applicants within your party.
Mixed or Single Sex Apartments
*
Mixed
Single
Do you Smoke?
*
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Do you have any Special Requirements &/or Medical Conditions?
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UCAS
Other
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Digital Signature
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