Application Form

First Name*:
Middle Name:
Last Name*:
Gender*:
Male
Female
Date of birth*:
Place of birth*:
Address*:
City*:
ZIP*:
Country*:
Tel.*:
Email*:
Your Photo:
Room type*
Single Bed (340 Euro/Month)
Single Bed Small (305 Euro/Month)
Double Room (250 Euro/Month)
Three bed room (170 Euro/Month)
Four bed room (110 Euro/Month)