MIBT STUDENT HOMESTAY APPLICATION FORM

* Required Field

Name of Agent :*
E-mail address of Agent :*
Name of Agent's Contact person :*

STUDENT'S DETAILS -

Family name :*
Given name :*
Date Of Birth :*
Age :*

Flight Number :*
MIBT Campus :*

Do you require transport from the airport to the homestay? If transport is required from airport to homestay book online LINK HERE ToGoTo
Do you have any food Allergies or dietary requirments? :* Detals :*
Any Medical Details we need to know about? :*
HOMESTAY INFORMATION -

What date do you require homestay from? MINIMUM STAY 4 WEEKS UNLESS PRIOR ARRANGEMENT :*

Please note you will be placed in the best homestay available at the time of your application.

Over 65% of Australian homestays have a registered dog or cat you LIMIT your options by requesting No pets.

Message:

All payments made via electronic banking or by telegraphic transfer should note the name of the student as the reference.

Placement fee of $200 and the first Four weeks accommodation costs of $ 1040 should accompany this request. TOTAL PAYMENT = $ 1240 (Australian $$$’s)

Note: $30 fee applies for International bank transfer only. Please add this amount to the total payment if using this method of payment.

Bank Transfer or Bank Cheque

Westpac Bank - Ivanhoe Branch (216 Upper Heidelberg Road)

BSB No: 033057 Account No: 234861

Account Name: Student Accommodation Services Pty Ltd

SWIFT CODE: WPAC AU 2S

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Name on Card:

Disclaimer:

Student Accommodation Services is NOT liable for any credit card details supplied via the internet.