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International programmes of study Request for accommodation in BUT Halls of Residence in the academic year 2024/2025 - winter term

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Brno University of Technology Halls of Residence and Dining Services, Kolejní 2, 612 00 Brno Phone: +420 541 142 932 Phone: +420 541 142 933

Accommodation request
BEFORE YOUR BOOKING, PLEASE PAY ATTENTION TO THE CONDITIONS OF RESERVATION AND ACCOMMODATION OF THE BUT: Your reservation of the accommodation is valid just then you have received the confirmation from the accommodation office of the BUT. You have to pay for your accommodation from the date of arrival given on your request. In case your prepayment total 450 EUR will be not credited to the account of BUT 14 days before the mentioned date of arrival given on your request, your booking will be automatically canceled. If you cancel your booking one week and less before your confirmed arrival, we will charge a penalty for accommodation not taken up to the amount of 2,000 CZK. Your booking will be cancelled automatically by Brno University of Technology if you do not arrive within 7 days following your confirmed arrival at the halls of residence. We charge a penalty for accommodation not taken up to the amount of 2,000 CZK. More informations in details on www.kam.vutbr.cz/english * I have read and I agree with the conditions of reservation and accommodation of the BUT.
Accommodation is requested from:	*	(dd.mm.yyyy)	to:	*	(dd.mm.yyyy)
- Pod Palackého vrchem: one bed in a double room (separate double room - own sanitary facilities, kitchen, fridge, internet conection) (could be selected from: 1.9.2024 to: 30.6.2025)   157,- CZK/person/night
Halls of Residence selected:		Pod Palackého vrchem: one bed in a double room
Programme of study:	*	ERASMUS+ Aktion CEEPUS DAAD - German Academic Exchange Service Visegrad Fund EEA/Norweigen FMP Programme of Student Mobility Support - Ministry of education, youth and sports Erasmus Mundus Intergovernmental agreement other programme of EU Lifelong Learning Institute - Intensive Course of Czech language for foreigners full-time study in English language full-time study in Czech language Bilateral Agreements FCE Ukrainian refugee select one
BUT faculty:	*	Faculty of Architecture Faculty of Electrical Engineering and Communication Faculty of Chemistry Faculty of Information Technology Faculty of Business and Management Faculty of Civil Engineering Faculty of Mechanical Engineering Faculty of Fine Arts Institut of Life Long Learning Institut of Forensic Engineering Central European Institute of Technology CESA - center of sports activities select one
Personal data
Date of birth:	*	(dd.mm.yyyy)
Surname:	*
First name:	*
Academic degree:
Sex:	*	male female select one
Passport no. / ID card:	*
Your e-mail address:	*
Phone number:	*
Request of visa (fill in only if you are request for a visa)
Request of visa from:		(dd.mm.yyyy)	to:		(dd.mm.yyyy)
Address to which the visa document is to be sent (usually your home address+post code): (max 250 characters)
Home address
Number and street:	*
City:	*
Country:	*
Home institution
Name:
Number and street:
City:
Country:
Your account
Account number:	*
Name of bank:	*
International Bank Code:	*	IBAN SWIFT (BIC) select one
IBAN / SWIFT (BIC):	*
		FOR BETTER IDENTIFICATION OF YOUR PAYMENT WRITE FOLLOWING SENTENCE TO THE NOTE FOR YOUR BANK:
		DO NOT CONVERT PAYMENT INTO CZK CURRENCY, THE BENEFICIARY MUST RECEIVE THE AMOUNT IN EUR, PLS PASS THIS INSTRUCTION TO THE INTERMEDIARY BANK.
Note or specific demands: (max 250 characters)

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