Personal Information

Name*

First Last

Student Number*

ID Number*

Email Address*

Gender*

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your whatsapp number

Cell Phone Number (Calls)*

Building Information

Are you new to us?*

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if you have stayed at metrorez before

City*

Building (Port Elizabeth)*

Alternative PE Building*

Summerstrand Admiralty Way can nolonger accept bookings; please choose an alternative

Buildings (EL)*

Building (Queenstown)*

Do you wanna retain your previous room?*

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Room Number

only for returning student

Room Type*

Single
Sharing

Institution of Study*

Qualification*

Academic Level*

Type Of Funding*

Nsfas
Private Paying
Bursary

Home Address*

Street Address Address Line 2 City State / Province / Region

Next Of Kin Information

Next of Kin (Full Name)*

Prefix First Last

Relationship (Next of Kin)*

next of kin Cell Phone*

Where did you hear about us?*

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Social Media
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I live/lived at MetroRez
NMU/WSU/UNISA, etc
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