Harrington Housing

First name

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Last name

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Date of birth

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Phone

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WhatsApp (If different from above)

Move-in date

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Move-out date

Approx. duration of the stay (If move-out date is not certain)

Gender

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Occupation

Student

Intern & co-op

Young professional

Affiliated school or company

Are you a smoker?

Yes

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Languages you speak

Languages you learn

How did you hear about us?

Reference code (If you have any)

Other comments

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