Accommodation & Airport Reception Request Form
Please complete the form below and click submit ....
Student's Details
Family name: * Given Names: *
Student ID: * Sex: Male Female
Nationality: * Date of Birth: *
Email: * Home phone: *
  Mobile phone: *
Agent's Details
Tick here if you don't have an agent
You will be required to pay a 50% deposit on application with the balance payable in placement in a Homestay.
Agent: * Agent Contact Name: *
Agent Email: * Agent Contact Number: *
What type of accommodation do you require?
Temporary accommodation for * days. Please note that the student is responsible for temporary accommodation costs and the transfer from temporary to permanent accommodation. This is a free placement service.
Homestay - Please read guidelines on website at www.perthstudentaccommodation.com
Do you have any special requirements? (i.e. medical, diet, religion, extra care, type of homestay)
Do you like pets? (i.e. cats, dogs) Yes No  
Which college will you attend: * Location: *
Course Commencement Date: *  
Do you require airport reception?
Yes
Arrival Date in Perth * Time * Flight *
No Airport Reception information (see website www.perthstudentaccommodation.com )
If you have any problems with airport reception or accommodation please call the Perth Student Accommodation 24hr emergency no. 0408 924 520