Campus Student Village
Administration Building
Edward Street
Limerick
Tel: +353 61 403400 (office)
BOOKING FORM ACADEMIC YEAR 2014-2015 (1.09.14 to 29.05.15)
(BLOCK CAPS ONLY PLEASE)
Surname……………………………..
Mobile No…………………………….
First Name…………………………..
Email…………………………………
Gender: [ ] Male [ ] Female
Year of Study (please circle) 1st 2nd 3rd 4th
Nationality…………………………
College…………………………………
Permanent Address:
Course………………………………….
………………………………………
Secondary School Name & Address
………………………………………
…………………………………………..
………………………………………
Irish P.P.S. No………………………
Special Medical Requirements………………………………Date of Birth………/……/…..
Age………..
NEXT OF KIN DETAILS
Name ……………………………………
Contact No…………………………………
Email Address……………………………….
Name of Students you would like to share an apartment with (not guaranteed)*
1……………………………
2………………………….
3……………………………
*(ROOMS ARE ALLOCATED ON A RANDOM BASIS & SHARING IS NOT GUARANTEED)
ACCOMMODATION RATES & PAYMENT TERMS 2014-2015:
PLEASE READ ALL TERMS AND CONDITIONS CAREFULLY BEFORE APPLYING

Booking/Security Deposit
€300 plus:-
Semester 1
Utilities Payment: €600 Full Academic Year (must be paid on collection of keys)
Rent:
€1600 (must be paid on collection of keys)
Semester 2
Rent:
€1600(must be paid on/before Jan 12th. 2015)
SIGNED____________________________
DATE_________________
Campus Student Village
Administration Building
Edward Street
Limerick
Tel: +353 61 403400 (office)
_____________________________________________________________________
GUARANTEE
Student’s Name…………………………………..…
Apt No…….(for office use)
1/We
(Parent/Guardian)
………………………………………………..
Address
………………………………………………..
………………………………………………..
………………………………………………..
Tel No
………………………………………………..
at the request of the Tenant and in consideration of this Tenancy, agree with the
landlord that the Tenant will, at all times, pay the rent and comply with the Terms of
the Agreement and agree to indemnify the landlord against all losses incurred by any
failure by the Tenant to comply with the Terms of this Agreement, even if the
Landlord gives the Tenant extra time to comply with any obligations in this
Agreement, or does not insist on it's strict terms, this covenant remains fully effective.
Dated
…………………………………………………
Signed by the said Guarantor …………………………………………………
(Parent/Guardian)
In the presence of
(Student/other witness)
…………………………………………………
Campus Student Village
Administration Building
Edward Street
Limerick
Tel: +353 61 403400 (office)
_____________________________________________________________________
BANK DETAILS
The following bank details are required in order to return the security deposit at
semester/academic year end. Please note the return of this deposit will take up to 8 weeks to
be returned after semester end only and not 8 weeks from the date that the student vacates the
apartment.
1. The Bank Name: _______________________________________
2. Bank’s Full Address:_________________________________________
_________________________________________________________
3. Account Holder’s Name: _____________________________________
4. Sort Code of Bank: _______________________________________
5. Account Number: ___________________________________________
6. IBAN:_____________________________________________________
7. Bank Identifier Code: ________________________________________
Please ensure the above details are all VALID as these bank details will be the account
that the security deposit will be returned to.
Campus Student Village
Administration Building
Edward Street
Limerick
Tel: +353 61 403400 (office)
TERMS AND CONDITIONS OF BOOKING:
1.
Only booking contracts received with the correct booking deposit and completed in full will be
processed. Please note all Cheques/Bank Drafts/Postal Orders must be made payable to
“CITY CAMPUS MANAGEMENT CO LTD or they will not be accepted by the
Bank and therefore your booking cannot be processed correctly.
2. A booking is only confirmed upon receipt of the deposit. First year applicants must notify us in
writing no later than 3 days after the First Round Offers are made if they wish to cancel their
booking. €150.00 of the booking fee will be returned.
3. Cancellation after this date will result in total loss of the booking fee. Any 1 st Year
Applications cancelled before release of CAO offers will be refunded €250.00. For all other
years, cancellation once deposit is paid will result in total loss of the booking fee. This
becomes the security deposit once a room has been occupied.
4. Residency agreements are made on a “Full Contract Basis” – all rental payments are non
refundable.
5. Any resident moving out before the end of their contract will forfeit all deposit and rental
payments.
6. A booking contract with deposit is a booking for a room only – each student occupies a single
room.
7. Deposits will be returned by BANK TRANSFER within eight weeks after semester/academic
year end.
8. Academic Year commences 01/09/2014 – keys are available for collection from this date –
however all new residents must contact the Administration Office at least three days in
advance to book a move in time.
9. All pages of the booking contract must be signed with all the correct details filled in.
10. Please note all students from outside Ireland sending through booking deposits via bank
transfers will be subject to bank charges, both when it is sent and on the return of the deposit.
RESIDENCY TERMS AND CONDITIONS:
1. All utilities are paid in advance. This payment covers Cable TV & TV Licence, telephone
line, refuse collection, Wi-fi broadband, electricity and gas.
2. “Moving in” must be carried out between the hours of 09.00am to 1.00pm & 2.00pm to
3.
4.
5.
6.
7.
5.30pm, Monday to Friday. Prior notice of arrival must be given by contacting City
Campus Management Office at least three working days before arrival.
Serious anti social behaviour which endangers the safety of fellow students on Campus may
result in immediate eviction. This remains at the discretion of Management.
All students are advised to take note and read carefully the CITY CAMPUS “TERMS OF
RESIDENCY & DISCIPLINARY POLICY” – a copy of which will be provided to each
resident on move-in day.
Lost/damaged keys will incur a replacement charge of €30.00, non-negotiable.
After hour call outs due to such things as locking yourself out, losing a key, incapacitation due
to alcohol etc. will incur a “call-out fee” of €10.00, non-negotiable.
All maintenance issues must be reported to the office. These are logged in the maintenance
log and will be dealt with accordingly. Failure to follow this procedure may result in
maintenance items being missed.
SIGNED:
Student
_______________________________________________________