Our Work Application for accommodation at Nossi Residence – 2026 Please fill in the form below: Student DetailsFirst NameLast NameGender *MaleFemaleID / Passport Number *Street AddressCityState/ProvinceZIP / Postal CodeCell NumberWhatsApp Number(if different from cell#)Email Address *Prefered Mode of CommunicationSMSWhatsappEmailParent's/guardian Name and SurnameParents' / Guardian AddressParents' / Guardian Email AddressParents' / Guardian PhoneProfession Of The sponsor/parentUniversity or College’s name in 2026Year of study1st Year2nd YearFinal YearPostgraduateRoom DetailsRoom TypeSingleSharingDo you have a person to share withYesNoMode of payment:CashCash-paying bursary*We are not NSFAS AccreditedHave you lived in a student residence before?YesNoWhy do you want to leave your current residence?Payment DetailsPerson Responsible For PaymentParentGuardianOtherPlease SpecifyName and SurnameEmail AddressPhonewhere did you hear about Nossi Res?how many months for lease agreement (until November 2026)Send Message
