Housing Request

Housing Request FormItems marked with * are required.

  • Applicant Information
  • First Name*
  • Last Name*
  • Year of Birth
  • Email*
  • Re-enter Email (Confirm)*
  • Phone (ex: +1-202-555-1234)
  • Nationality (passport) (*required)
  • Country of Residence (*required)

  • 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)
    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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