London

Personal details

First name *

Surname *

Hostel arrival Date *

Hostel leaving Date *

Type of room requested * (prices are as follows depending on the room)
—Veuillez choisir une option—Single room - £170 per weekShared room (2 beds) - £150 per weekShared room (3 beds) - £140 per weekAny room available

Nationality *

Religion

Passport / ID number *

Passport /ID expiry date *

Studies / work in your Country of Origin

Accommodation / Your stay in London

Reason for your stay in the UK *
—Veuillez choisir une option—WorkStudiesOther

Details of university or workplace. If 'OTHER', please specify. *

Family Details

Parent's or Guardian's City/State/Province *

Parent's or Guardian's Postal/Zip Code *

Parent's or Guardian's Telephone number *

Health / Medical emergency

First name & surname of UK emergency contact

UK emergency contact's telephone number (landline)

UK emergency contact's phone number (mobile)

UK emergency contact's email address

Relationship to you *

Medical condition (if nothing particular, please write "none») *

About you / Other information

How did you hear about our Kensington RMI Hostel? *

Have you ever lived in any of our hostels before? If so, where and when? *

Tell us more about yourself (presentation letter) *

Data protection *
The information provided in this form is used exclusively for the purposes of administering Kensington RMI Hostel. No information will be passed on to third parties without your consent, unless we are required to do so by law.
This information is kept on file while you are a resident here and for the required period after your final departure. You are entitled to see a copy of any information we keep in your file on request.

Please read our Guidelines
and Privacy Notice, as well as our Fees, Terms and Conditions.

I have read and accept the rules, admission conditions and privacy policy of the Hostel.

Signature (leave this field blank to sign on arrival)