Registration Form | A/NTERIM

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Online Registration

Personal Information

Gender

First name

Email

Date of Birth

Last name

Code

Phone

Property

Choose your Location:

URBAN NEST

LAKE HUB

UPPER NORTH

Starting Date

End Date

URBAN NEST

UNIT 21

UNIT 22

UNIT 23

UNIT 51

UNIT 52

UNIT 53

UNIT 61

UNIT 62

UNIT 63

LAKE HUB

UNIT 4-01

UNIT 4-11

UNIT 4-12

UNIT 4-21

UNIT 4-22

UNIT 4-23

UNIT 4-31

UNIT 4-32

UNIT 4-33

Current Address

Street

City

ZIP CODE

Resdent since

Further Information

Current Residency Permit

Nationality

Place of Origin

Occupation

Confim that you have a Private liability insurance

Employer / School

Insurer

Further Refernces

A bit about yourself

Please upload a Passport Copy and a private liability Insurance

Upload

Only PDFs supported!

Your Signature

I want to receive news about new Locations!

I confirm that all the information provided is truthful.

Thank you for your Registration!
You have received an confirmation email.

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