Student Village Booking Form

Student Village Booking Form

Swinburne University of Technology Sarawak
TYPE YOUR NAME AS IT APPEARS IN YOUR NRIC/PASSPORT. PLEASE WRITE IN BLOCK LETTERS.
SECTION A: PERSONAL DETAILS
Name*

Family Name(as indicated in passport)Given names
Gender*

MaleFemale
Are you a new or current student?*

NewCurrent
Have you accepted your study offer*

YesNo
Student ID Number*
Full Residential Address*
Country*
Student Email Address*
Please enter your student email (e.g.123456789@students.swinburne.edu.my)
Personal Email Address*
Mobile Number*

PrefixPhone Number
Country*
Are you a Malaysian student?*

MalaysianNon-Malaysian
Religion
Identification Card Number/ Passport Number *
Malaysian student - kindly refer to your I.C number
Do you have any medical condition that requires the attention of the university?*

YesNo
Please provide details:*
SECTION B: PROGRAM INFORMATION
Program Offered*
Semester*
Program commencement date*

DayMonthYear
Date
*Student must accept the study offer first for acceptance of the room booking. Kindly upload a screenshot of study offer acceptance from the portal before proceed with the booking.
Screenshot of Study Offer Acceptance*

Limited to 5MB
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SECTION C: ACCOMMODATION BOOKING

Please note that booking is subject to room availability and upon receiving the Student Village Room Confirmation (SVRC). For Standard Plus room options, air-conditioning (A/C) usage is “charge as per usage”. You are deemed to have agreed that monthly A/C charges will be share equally with your roommate for residents in Standard Plus Twin (Sharing with A/C).
Student Village Room Option*

Standard Twin (sharing with Fan) – RM540Standard Single (with Fan) – RM950Standard Plus Twin (Sharing with A/C) – RM950Standard Plus Single (with A/C) – RM1250Premium King (with A/C) – RM1350
Note
Optional: I would prefer to share with:
Preferential is subjected to availability
Tenure Type*
Are you a BP40 student?*

YesNo
SECTION D: VISA (For International/Non-Malaysian Student Only)

This section is to be completed by International/Non-Malaysian Student Only. You are encourage to obtained first your Visa Approval Letter and itinerary prior to booking.
Have you obtained your Malaysia Visa Approval Letter/Visa Reference Letter (VRL)

YesNo
DEPOSIT FEE*

Kindly check on your room and utility deposit fees via our Accommodation website. One month room deposit is chargeable to confirm your accommodation booking. Kindly upload your payment receipt here. Please take note that the deposit paid is not refundable upon Student Village Booking Confirmation (SVRC).
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BP40 Eligibility Letter*

Kindly provide a copy of your BP40 Eligibility Letter for verification purposes.
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Note:

Full upfront payment is required on the payment due date (class commencement date). Kindly check your Student Village Booking Confirmation. For any booking made after the payment due date (class commencement date), full upfront payment is required. The Accommodation team may contact you.
GENERAL PRIVACY STATEMENT
Information collected in this form will be utilised to process your accommodation booking request. The information will be processed in accordance to the Personal Data Protection Act (PDPA) 2010 and will only be disclosed to third parties with your consent or to meet statutory obligations.

For more information, please refer to the University's Privacy Collection Notice at http://www.swinburne.edu.my/privacy/

By submitting this form, you agree to be subjected to the Privacy Collection Notice of the University and have consented to the processing and disclosure of your personal data for the fulfillment of this application.
SECTION F: DECLARATION*

By ticking this box, I am confirming my accommodation booking and I agree to abide by the terms and conditions stated. I also acknowledge that I have read the information for applicants and certify that all information provided is true, accurate, and complete. Together with this booking form, I include a ONE MONTH ROOM DEPOSIT as payment in the form of cheque/telegraphic transfer (TT)/bank transfer/Flywire.
Should be Empty:

Student Village Booking Form

SECTION A: PERSONAL DETAILS

SECTION B: PROGRAM INFORMATION

SECTION C: ACCOMMODATION BOOKING

Note

SECTION D: VISA (For International/Non-Malaysian Student Only)

GENERAL PRIVACY STATEMENT