MBA House Application


If you require additional information please contact us:

Office: 778 945 5100
Address: 201-5923 Berton Ave. Vancouver, BC V6S 0B3
Email: info@mbahouse.ca


Please fill out the form below

PROGRAM OF STUDY

You are a(n)*

Name of Program*
 
Fall 2018 Standing*



Preferred Move-in Date
UBC Student Number
Attach Proof of Enrolment
(Enrolment Verification Letter)

Please check here if you haven't received your Proof of Enrollment yet

PERSONAL INFORMATION - PLEASE PRINT CLEARLY

First Name*
Last Name*
Residency Status*


Current Address*
City*
Province/State*
Postal/Zip Code*
Country*
Email Address*
Phone Number*
Cell Number
Type of accommodation requested:

COUPLES (For applicants requesting accommodation for spouse or partner)

Name of Spouse/Partner

REFERENCES

(a) Living Status*:

Present Landlord

Name*
Phone Number*

(b) Closest Relative

Name*
Relationship to You*
Phone Number*
Email*

(c) Emergency Contact

Name*
Phone Number*
Email*

Please check here to agree that the information above is correct*

Disclaimer

This document does not form a "Tenancy"; it is an offer to rent subject to the Landlord's approval based on information supplied and, other possible applicants, and offers pending.

For the purpose of determining whether this Application for Tenancy is acceptable, the Applicant consents to the Landlord obtaining credit, personal and employment information on the Applicant from one or more consumer reporting agencies and from other sources of such information. The Applicant authorizes the reporting agencies and any other person, including personnel from any government ministry or agency, to disclose relevant information about the Applicant to the Landlord. If this application is accepted, the Applicant understands that the above information will also be used and disclosed for responding to emergencies, ensuring the orderly management of the tenancy and complying with legal requirements. Village Gate Homes takes reasonable precautions to protect the personal information collected from loss, misuse, unauthorized access and disclosure.

I certify that the information contained in this application is correct and complete. I understand that giving incomplete or false information is grounds for rejection of this application. I understand that if any information supplied on this application is later found to be false, this is grounds for termination of tenancy.

Please type your full name in the box below to indicate that you agree to the terms of this application. Your digital signature will be binding as your actual signature.


Signature*
Date*
Name*