Queue registration form

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Century*

Date of birth*

X Non-swedish citizen

X Woman

X Male

Given name*

Family name*

C/O address

Street address*

Zip code*

City*

Alternative address

Zip code, alternative address

City, alternative address

Telephone 1*

Telephone 2

Email*

Type of apartment (max three choices)*

Field of study

First accession date

Miscellaneous

I confirm that personal data may be saved and that credit records will be checked in order to process the application * I accept the Terms & Conditions of Stiftelsen Michael Hansens kollegium *