Application

Name *)
Address *)
Zip code. *)
City *)
Country *)
Date of birth *)	(dd/mm/yy) *)
Education *)
Date of arrival	(dd/mm/yy) *)
Telephone
E-mail *)
This furniture is *Not* to be in the room:
	Couch	Desk
	Desklamp	Swivel chair
	Bookcase	Coffee table
	Armchair