Home / Your Home / Find a Home / Student Living / Cardiff / 118 booking form 118 booking form 118 Newport Road - Booking form Step 1 of 3 33% Student reference number:*If you do not yet have a Student Reference Number, please send us a conditional offer letter as proof you are a student. We must receive this before we can confirm your booking. We will then require your Student Reference Number before you move in.TitleMrMrsMissMsDrFirst / Given name:*Surname / Family name:*Please state your nationality:GenderMaleFemaleDate of birth Date Format: DD slash MM slash YYYY Email address:* Telephone number:*Mobile number:Home address:Postcode:Current address (if different from home):PostcodeContact name in case of emergency:Contact telephone number in case of emergency:Emergency contact relationship to you:How did you hear about us? Year of study1st2nd3rd4th5thDate you require accommodation from Date Format: DD slash MM slash YYYY Please note, our hours of work are Mon-Fri 9-5pm so your move in date will need to be a weekday.Course title:Studying at:Is your course:Further educationUndergraduatePostgraduateStudy Abroad Accommodation is available over a fixed term. Please select which package suits you best. You will be unable to reduce the term of your contract but you may be able to extend.12 weeks (1 semester) Small studio £125 Medium studio £145 Large studio £160 Classic study bedroom £110 Enhanced study bedroom £115 Available to students moving into Newport Road, Cardiff in September 2017.42 weeks Small studio £125 Medium studio £145 Large studio £160 Classic study bedroom £107 Enhanced Study bedroom £112 Available to students moving into Newport Road, Cardiff in September 2017.50 weeks Small studio £116 Medium studio £140 Large studio £155 Classic study bedroom £103 Enhanced study bedroom £108 Available to students moving into Newport Road, Cardiff in September 2017.Please advise us of any preferences/requests (e.g. top floor, all female/male flat).We will try our best to assist with requests but cannot guarantee they will be met.If you intend to share, an additional £10.00 per week will apply and you will need to supply us with the following details: Name of the person sharing with you:Their Student ID number:Their date of birth: Date Format: DD slash MM slash YYYY Their mobile/telephone number:Their email address: Year of study:1st2nd3rd4th5thDate accommodation is required from: Date Format: DD slash MM slash YYYY Course title:Studying at:Is the course:Further educationUndergraduatePostgraduateStudy AbroadWould you consider an alternative should your preferred room option be unavailable.YesNoDo you have a medical condition or disability which would affect your room allocation? If so, please specify:Please confirm that you have read the 'Newport Road Application Notes' and that you are aware that a £200.00 deposit must be paid in order to complete your booking.*YesNoHave you read and understood the Terms of Tenancy Agreement?*YesNoPlease contact: 7-13 The Kingsway, Swansea, SA1 5JN or tel: 0800 012 1080 if you have any questions regarding your application.