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Application Form

Submission of this form will not automatically guarantee your room. All applications will be reviewed by our respective property managers. You will be notified as soon as possible when your application has been successfully accepted or if more information is required to be provided.

Complete the form below to submit your application. Fields marked with an '*' are compulsory and must be filled.

Click here for a printer friendly form for submitting applications by fax

Surname*:
Name*:
Date of Birth*:
Gender*:
Nationality*:
Suburb/City*:
State*:
Postcode:
Country*:
Email*:
Phone Number*:
Fax Number:
Mobile Number:
Name of Uni / College*:
Preferred Room Type*:
Rental Period*:
Move-in Date (approximate)*:
Where did you learn of O’Connell Residence?:
Any further Information/Inquires/Questions:

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