(+44) 020 3006 5299
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Homestay Application Form
eStudent London
Unit 8 - 16 Chestnut Grove
London SE20 8PF
Tel: 020 3006 5299
Email:
info@estudentlondon.com
Website:
http://www.estudentlondon.com
Name
Surname
Full Home Address
Country
Telephone
Mobile
Email
Nationality
Date Of Birth
dd/mm/yyyy
Gender
Male
Female
Smoking
Yes
No
Preferred Homestay Type
Standard Zone 4/5
Standard Zone 3
Standard Zone 2
Standard Zone 2/1
Preferred Meal Plan
Bed & Breakfast Only
Bed, Breakfast & Dinner
Self-Catering
Room Type
Single
Twin
Do You Like Animals?
Yes
No
Would You Be Happy To Live In A Household With Children?
Yes
No
Are You Vegetarian?
Yes
No
Are You Diabetic?
Yes
No
Do You Have Allergies?
Yes
No
If you have answered yes to the above questions please enter details below
School/Area Where You Will Be Studying
Please enter your school name or the nearest underground station
Period of stay
Date Of Arrival
dd/mm/yyyy
Date Of Depature
dd/mm/yyyy
Airport Pick-Up
Would You Like To Be Picked Up At The Airport?
Yes
No
Please Enter Your Flight Arrival Date
dd/mm/yyyy
Flight Number
Landing At Which Airport?
Please select from the list
London Heathrow Airport
London Gatwick Airport
London Luton Airport
London Stanstead Airport
Any Other Information
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