Housing Request

• Applicant Information
• First Name*
• Last Name*
• Year of Birth
• Email*
• Re-enter Email (Confirm)*
• Phone (ex: +1-202-555-1234)
• Nationality (passport) (*required)
• ---AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCataloniaCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFaroe IslandsFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (ROK)KosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineU.A.E.U.K.U.S.A.UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe
• Country of Residence (*required)
• ---AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCataloniaCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFaroe IslandsFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (ROK)KosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineU.A.E.U.K.U.S.A.UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe

• Housing Preferences - Shared Apartments (prices in EUROS/ *)
• I prefer to stay in a: (*required)  TWIN room (shared) SINGLE room (Non-Smoking Only
• Duration (*required)
  from to (*Check-in on Sunday)
• Room prices (*required)
  choose week and room1week (6 nights) -Twin Room € 300.001week (6 nights) -Single Room € 400.002weeks (13 nights) -Twin Room € 380.002weeks (13 nights) -Single Room € 540.003weeks (20 nights) -Twin Room € 450.003weeks (20 nights) -Single Room € 690.004weeks (27 nights) -Twin Room € 500.004weeks (27 nights) -Single Room € 800.006weeks (41 nights) -Twin Room € 750.006weeks (41 nights) -Single Room € 1,200.008weeks (55 nights) -Twin Room € 1,000.008weeks (55 nights) -Single Room € 1,600.0012weeks (83 nights) -Twin Room € 1,500.0012weeks (83 nights) -Single Room € 2,400.00 and additional Days
• *Additional Day (per day) : Twin Room € 60.00 / Single Room € 80.00
• *Housing utilities expense NOT included (€ 22.00/week).
• Other Information
• Do you suffer from any illness, allergies, or dietary problems? (*required)
   No Yes (Please describe)
  
• Can you live with pets? (dog, cat, bird, etc.) (*required)
   No Yes (Please describe)
  
• For any special request, please write here below
  
• Payment (Wire/Bank Transfers only)
• INTERNATIONAL STUDENTS
  Recipient: ACCADEMIA RIACI TOKYO OFFICE
  Account Number: 270107029
  Address: 5-15-20-702 Minami-Azabu, Minato-ku, Tokyo 106-0047, Japan
  Recipient Bank: SUMITOMO MITSUI BANKING CORPORATION (SMBC)
  SWIFT/BIC Code: SMBCJPJT or SMBCJPJTXXX
• ITALIAN STUDENTS
  Recipient: ACCADEMIA RIACI
  Address: Via dei Conti, 4, 50123 Firenze (FI), Italy
  Recipient Bank: POSTE ITALIANE SPA
  IBAN Code: IT26 W076 0102 8000 0008 4496 884
  SWIFT/BIC Code: BPPIITRRXXX

HOUSING RULES AND REGULATIONS
Please be sure to read the accommodation rules and regulations. "Housing Rules and Regulations".

I have read and agree to the Accommodation General Conditions and request accommodation.

About the handling of personal information
Information obtained from customers is managed responsibly in our office and we will use it for support to customers, sending pamphlets from our office, providing useful information, contacting customers, or incidental work We do not use it for other purposes. In addition, we will never offer or transfer information to third parties.
For details please see "Privacy policy".

I agree with the handling of personal information

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