Application for Prolongation of Usage Contract

Personal Information

Firstname *

Lastname *

Customer Nr *

Mobile Phone Nr *

Current Wihast House

Current Study Course *

Email Address *

It is only possible to prolongate your contract with a valid email address. Please make sure that the given email address matches with your email address on your Wihast contract of use. If not, please contact the dorm office at 01/597 06 62 DW 33-35 during business hours.

Room

Current Semester *

Comments / Notes

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Document

I agree to the terms

Please make sure that your provided firstname, lastname and customerNr are correct in order to be able to submit this application. This message will disappear if our system identifies your data. If you encounter problems please contact the Heimplatzbüro.