-1Theophil-Wurm-Haus

Pestalozzistr. 35

Evangelisches Studentenwohnheim

Germany 72762 Reutlingen

Phone +49 (0)7121/230515
eMail: wurmhaus@gmx.net
info@theophil-wurm-haus.de

Application for admission in Theophil-Wurm-Haus for summer semester ____________

2016
winter semester ____________

Please pay attention to the following information

Theophil-Wurm-Haus accepts students from the Pdagogische Hochschule, Fachbereich
Sonderpdagogik, and students from the Fachhochschule Reutlingen, University of Applied
Sciences. The application committee requests that the applicant provides exact and truthful
information on the following application. This will be kept strictly confidential. The application
committee reserves the right to examine the provided information.

Important information
Please provide the following information. In addition to the application form we need a copy of
your resume (including your educational background), any additional background information
which the application committee could use as consideration for acceptance approval should also be
included.
Please hand in your application form and resume until December 15 resp. June 15 at the latest.
Application forms which are incomplete or handed in later cant be taken into
consideration!!!
The monthly rent including all fees is at the moment:
Double occupancy

175.-

Single occupancy

225.-

Great single room

320.-

For the Fachhochschule students the contract begins on 01.03./01.09. and ends on 28, or
29.02./31.08.

-2The application documents are valid for one semester only. In case your application is denied, or
you choose not to accept a room at this time, you must send a new application if you would like a
room in the future.
Personal Information
shafiq
muhammad amir
male
Last name: ___________________ First name: _________________ Sex:_______
26.09.1992
Lahore
Birthday (day, month, year):_____________ City of birth: __________________
Pakistani
Single
0
Citizenship: ______________ Marital status: _____________Children:__________
H # 129, St # 18-AS, Qadria Chowk Last mint Shalimar
Home address:_______________________________________________________
town Lahore.
00923154042089
_______________________________________Telephone:___________________
Smoker? Yes

No

(Pass Photo)

To which address should we send the answer?

Goeschenstr. 9 , 21073 Hamburg , mamir732@gmail.com
___________________________________________________________________________
In which college are you currently enrolled or will you be enrolled?
Hochschule Reutlingen
___________________________________________________________________________
International Busniess
Your subjects: _______________________________________________________________
will be enrolled
In which semester are you currently enrolled? ______________________________________
2019
When do you expect to graduate? ________________________________________________

Questions about your social situation:

Own Busniess
Profession of your father:____________________________ Employed
Self employed
Housewife
Profession of your mother:___________________________ Employed
Self employed
55
55
Your fathers age: ____________________ Your mothers' age:________________________
The exact net income of your parents/ your spouse per month (amount in ):

20,000
Your father:____________
Your mother:______________
Your spouse:_________________
0
Without proofs of income (photocopies, etc.) no rooms can be allocated!

I have savings in Bank account.

Special financial loans or debts:__________________________________________________
How many brothers and sisters do you have?_____________ Currently enrolled in school or

No.
college? _________________________Kind
of training/education?__________________
Married and busy

-3How are you financing your studies? (Monthly income) (amount in )

200
How much money do you receive from your parents?......................._____________________
From your spouse?.............................................................................._____________________

600
Personal income (how much and where from?).................................._____________________
Do you receive special scholarships? (how much, and who from).... _____________________

No.
___________________________________________________________________________
Orphans pension?..............................................................................._____________________

Savings in Bank Account.

Any other special income?.................................................................._____________________
800 Euros.
Total monthly income ........................._____________________
Are to prepared to integrate yourself into the student community of the Theophil-Wurm-Haus?
Yes

No

How long do you plan on living in the apartment?___________________________________

For your information: New occupants might be assigned a double room during their first
semester; however, they can apply for a single room for the following semester.
Would you agree with that? Yes

No

If no, why not? ______________________________________________________________

With who would you like to share a room?_________________________________________

Please with a boy, Preferably german so that i could improve my langauge

Questions concerning additional activities:

Book Reading , sports , cooking and Music.

Honorary engagement? ________________________________________________________
Engagement at the university? __________________________________________________
Questions concerning your housing situation? (Beginners need not answer these questions)
Have you already lived in a student dorm? Yes
No
Hamburg, One year
If so, where and how long?______________________________________
because i am
Why do you want to move into the student dorm Theophil-Wurm-Haus?_________________
going to start my studies at hochschule reutlingen.
___________________________________________________________________________

14.07.2016
Date (day, month, year) ___________________

Signature_________________________