Office of Accommodation Services T: 8946 6591 E: accommodation@cdu.edu.au Casuarina Campus, Brown Precinct Ellengowan Drive Darwin NT 0909 ACCOMMODATION BOOKING FORM Location Katherine International House Darwin Alice Springs ☐ Guest Apartment ☐ with Meals Single Standard ☐ without Meals Kitchen Kit Hire ☐ Twin Share ☐ ☐ Single Occupancy ☐ Booking Details Arrival Date: Click here to enter text. Number of People: Click here to enter text. Departure Date: Click here to enter text. Booking Comments (include PO number): Click here to enter text. Booking Contact Name: Click here to enter text. Phone number: Click here to enter text. Email Address: Click here to enter text. Payment Options ☐ Company will pay invoice Accounts Contact: Click here to enter text. Email Address: Click here to enter text. Company Name: Invoice Address: Click here to enter text. Click here to enter text. ☐ Guest will Pay OAS will email you a payment advice form once application is received. Payment is required within 2 weeks of the arrival date to confirm the booking. If arrival date is within 2 weeks of booking being confirmed, then payment is required within 2 business days. 1 Office of Accommodation Services T: 8946 6591 E: accommodation@cdu.edu.au Casuarina Campus, Brown Precinct Ellengowan Drive Darwin NT 0909 Guest Details Please list details for all guests in the group including all dates of birth. First Name Last Name Contact Number Email (Must be guest’s email address – required for important communication) Gender Date of Birth Note: Please include all details for all guests. This form can also be used if only booking 1 guest. All residents are required to adhere to the Terms and Conditions of Residency, the Student Residence Code of Conduct, the Charles Darwin University (Student Residences) By-laws, the Student Residence Handbook and all other relevant governing documents of the University. Upon arrival, residents will be required to sign and accept these documents. Please ensure you forward a copy of them to each resident prior to arrival. These documents can be found on our website: http://www.cdu.edu.au/ihd/governance. 2