Apply - Birch Ridge - Boutique Student Accommodation

Your Stay With Us

Property *

Preferred Room Type *

Rental Period *

Lease Start Date *

Leases commence on the 1st or 15th of the month or by arrangement. Select from calendar, or enter as d/m/yyyy, for example 21 Feb 2019 would be 21/2/2019. Lease Start Date must be before or the same date as Move In Date.

Check In Date (Projected) *

Select from calendar, or enter as d/m/yyyy, for example 21 Feb 2019 would be 21/2/2019. Move In Date must be the same or later than Lease Start Date.

Tenant Details

Family Name *

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First Name *

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City *

State/Province *

ZIP / Postal Code *

Country *

Phone Number *(Country Code) (Area Code) (Phone Number)

Mobile / Cell Number(Country Code) (Area Code) (Phone Number)

Date Of Birth *

Select from calendar, or enter as dd/m/yyyy, for example 31 Jan 1970 would be 31/1/1970

Email Address *

Gender *

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Nationality *

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Parent or Emergency Contact Details

Family Name *

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First Name *

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Contact Email Address *

Contact Phone Number *(Country Code) (Area Code) (Phone Number)

Contact Mobile / Cell Number(Country Code) (Area Code) (Phone Number)

Relationship to Tenant *

Additional Information

Name of University or College *

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Where did you hear of Birch Ridge?

Do you have any further information / inquiries / questions?0 / 180

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