Student Application Form - Montreal | Centurion

Apartment Information

Pour réserver une chambre, veuillez nous envoyer un courriel à info.montreal@centurion.ca.

如果需要预订房间，请发送电子邮件至 info.montreal@centurion.ca 与我们联系。

City*:

Montreal Change

Building*:

Move-In Month*:

Lease Type*:

Lease Details*:

Number Of Applicants:

Applicant #1 Information

First Name*:

Last Name*:

Email Address*:

Phone*:

Gender*:

Male Female Neutral

Date Of Birth*:

Address*:

City/Prov*:

Educational Institution:

WeChat ID:

Other Educational Institution:

Are you an
International Student?*:

Yes No

Guarantor Name:

Guarantor Email:

Government ID*:

Government ID #*:

Applicant #2 Information

First Name:

Last Name:

Email Address:

Phone:

Gender:

Male Female Neutral

Date Of Birth:

Address:

City/Prov:

Educational Institution:

WeChat ID:

Other Educational Institution:

Are you an
International Student?*:

Yes No

Guarantor Name:

Guarantor Email:

Government ID:

Government ID #:

Applicant #3 Information

First Name:

Last Name:

Email Address:

Phone:

Gender:

Male Female Neutral

Date Of Birth:

Address:

City/Prov:

Educational Institution:

WeChat ID:

Other Educational Institution:

Are you an
International Student?*:

Yes No

Guarantor Name:

Guarantor Email:

Government ID:

Government ID #:

Applicant #4 Information

First Name:

Last Name:

Email Address:

Phone:

Gender:

Male Female Neutral

Date Of Birth:

Address:

City/Prov:

Educational Institution:

WeChat ID:

Other Educational Institution:

Are you an
International Student?*:

Yes No

Guarantor Name:

Guarantor Email:

Government ID:

Government ID #:

Applicant #5 Information

First Name:

Last Name:

Email Address:

Phone:

Gender:

Male Female Neutral

Date Of Birth:

Address:

City/Prov:

Educational Institution:

WeChat ID:

Other Educational Institution:

Are you an
International Student?*:

Yes No

Guarantor Name:

Guarantor Email:

Government ID:

Government ID #:

Finalize

Please type your name(s) *

Staff Member: