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We denounce with righteous indige nationality and dislike men who are so beguiled and demo by the charms of pleasure of the moment data com so blinded by desire.

APPLICATION FORM FOR LONG TERM RESIDENCE

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Form

SurName *

Names *

Date of Birth

Gender

Nationality *

Religion

Marital Status

Email address *

Mobile Number

Permanent Address *

Contact Address *

Passport Number *

Issued at

Valid until

Name of Father *

Profession *

Email address *

Mobile Number

Name of Mother *

Profession *

Email address *

Mobile Number

In case of emergency contact details: Name *

Relationship *

Email address *

Mobile Number

Name & Address of Institution for Study:

Tel No

Details of Course

Date of Arrival

Date of Departure

What activities do you enjoy? (Tick all that apply) * Reading Sports/Gym Arts & Crafts Travel Computers Music / Singing Watching Movies Shopping Family Time Cars Time with friends
Cooking Writing Other

What sports do you like to play? (Tick all that apply) * Basketball Soccer Cricket Swimming Gym / Fitness I don't like sports Other

Any extracurricular activities (like musical instruments / cultural activities)? *

Anything else you want us to know? *

Please state the name of the Referred YMCA affiliated to the NCYI *

Please state if referred by any agency/Institutions/Individuals *

Upload Photo,A copy of Passport,Appointment letter/Admission Letter,Letter of Sponsorship in UK/Financial Guarantee/Scholarship Award

Declaration (Please tick) * I hereby declare that all the information given above is correct
I hereby undertake that I will abide by the rules and regulations of the Hostel.

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Address

YMCA Indian Student Hostel, 41 Fitzroy Square, London, W1T 6AQ,
020 7387 0411 (London)
reservations@indianymca.org