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Application for a Place

APPLICANT’S PERSONAL INFORMATION
Last Name 1
Last Name 2
First Name
Address
Town/City
Zip code
Province / State
Country
Date of birth / Age
ID / Passport number
Nationality
Student’s cell phone number
Home pone number
Student’s e-mail address

APPLICANT’S FAMILY INFORMATION
Father or Legal Guardian’s full name
Mother or Legal Guardian’s full name
Father’s contact number
Mother’s contact number
Cell
Cell

ACADEMIC DETAILS
Chosen degree
University
Year

ACCOMODATION DETAIS
 Single room with breakfast and dinner Double room with breakfast and dinner
 
CHECK IN
DAY MONTH YEAR
CHECK OUT
DAY MONTH YEAR

REQUIRED DOCUMENTATION
Photocopy of I.D. or Passport
Two recent photos
Photocopy of Social Security or Private (if applicable) Medical Insurance

HOW DID YOU?

To send the form you must first accept Privacy Policy
The information you provide will be incorporated into a file duly registered by Studio CB Estudiomad6 San Martin, in the Spanish Data Protection Agency. The aim of treatment is to address the service request that makes us. You can exercise your rights of access, rectification, cancellation and opposition in the terms established in the Organic Law of Protection of Personal Data and its implementing regulations. You can exercise this right by sending an email to beatrizsanmartin@estudiomad6.com, belensanmartin@estudiomad6.com or by written request to the address Estudiomad6 CB Studio San Martín street Andalucía, 31 28750 San Agustín de Guadalix Madrid, including a copy of Identity Card or equivalent identification document.