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ADDITIONAL SCREENING FORM
INTERNATIONAL STUDENTS

PERSONAL INFORMATION

First name*

Last name*

Date of Birth*

Day

Month

Year

Nationality*

Passport Number*

Phone Number*

Email*

Upload a photo of your ID card*

STUDIES

Which educational institution are you enrolled at?*

Which study programme are you following?*

Expected graduation date:*

Are you a full-time student?*

Yes

No

Can you provide proof of enrolment as soon as it becomes available?*

Yes

No

RESIDENCE IN BELGIUM

Since when have you been living in Belgium?*

Do you have a Belgian residence permit?*

Yes

No

If yes, please specify the type and expiry date.

Are you already registered with a Belgian municipality?*

Yes

No

If not, when do you intend to register?

RENTAL HISTORY

Have you previously rented a student room or apartment?*

Yes

No

If yes, please clarify: Where? During which period? Name of the landlord? Contact of the landlord?

May we contact your previous landlord?

Yes

No

Why did you leave your previous accommodation?

FINANCIAL INFORMATION

Who will pay your rent?

Myself

My parents

Scholarship

Employer

Other

FINANCIAL GUARANTOR

Full name:*

Relationship:*

Street + Number (optional)

City + Country*

Phone number:*

Email:*

Does this person speak English?*

Yes

No

Is this person willing to be contacted in the event of rent arrears, damages, or other tenancy-related issues?*

Yes

No

RESPONSABILITY

What are you looking for in a student room?*

Why do you believe you would be a responsible tenant?*

PRACTICAL QUESTIONS

Are you familiar with Belgian rental regulations?*

Yes

No

Are you willing to fully comply with the house rules?*

Yes

No

USE OF THE ROOM

Please confirm that you understand and agree that:

The room is intended for your personal use only.

Subletting is only permitted with the landlord's prior written consent.

You are responsible for keeping your room clean and well maintained.

You will dispose of waste correctly and sort it according to local regulations.

You will respect the common areas and other residents.

You will leave the room completely empty and in good condition at the end of your tenancy.

DECLARATION

I declare that all the information provided above is true, accurate, and complete.

I understand that providing false or misleading information may result in the rejection of my application or, where legally permitted, further action.

Name:*

Date:*

Day

Month

Year

Signature*

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Contact

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ADDITIONAL SCREENING FORM INTERNATIONAL STUDENTS

PERSONAL INFORMATION

STUDIES

RESIDENCE IN BELGIUM

RENTAL HISTORY

FINANCIAL INFORMATION

FINANCIAL GUARANTOR

RESPONSABILITY

PRACTICAL QUESTIONS

USE OF THE ROOM

DECLARATION

ADDITIONAL SCREENING FORM
INTERNATIONAL STUDENTS