REGISTRATION FORM 2024 - theshepherdsville.com

2024 ROOM REGISTRATION

Please Select the hostel You paid for *

Room Type - SHEPHERDSVILLE BLOCK A *

Room Type - SHEPHERDSVILLE BLOCK B *

Name *

Phone *

Email Address *

Select Gender *

Date of Birth *

Current Level / Year of Study *

Student ID.Number *

Programme *

Home Address *

City

Are you an old Resident & wish to maintain your room? *

Current Room number *

Guardian / Parent Details

Name *

Guardian/Parent *

is the address stated above the same as your Guardian / Parent? *

Street Address *

City

Country

Upload Bank Deposit Slip / Receipt .File size should be less than 1 mb *

Upload Bank Deposit Slip , Receipt or Momo

Upload Passport picture or Selfie. file size should be less than 2 mb *

Passport picture or Selfie

Upload Student ID card. File size should be less than 2 mb *

BANK DEPOSIT RECEIPT REFERENCE NUMBER : *

Declaration *I declare that the particulars on this registration forms are true and I have not suppressed any material fact. Any misrepresentation or omission of information will render me ineligible for student accommodation.I undertake to abide by the rules and regulations. In the event that I am found guilty of breach of contract .I hereby agree that management can terminate my accommodation contract and request I vacate the hostel premises immediately subject to no refund

Signature *