Information form corridor representative

Information form corridor representative

Are you the new corridor representative or has your personal information or that of the corridor changed? Please let us know by filling in this form. In order to return the cleaning money and compensate you for being a corridor representative, it is important that we have the proper information at our disposal. Be sure to fill in all the details. Incomplete forms cannot be processed!

Corridor
Name corridor representative
Address
E-mailaddress
Telephonenumber corridor
Corridor bank account number for cleaning costs
In name of
Bank account number of corridor representative
In name of
Commencing on

Undersigned declares to have filled in this form truthfully.

Place ______________________________________ date _______________________________

Signature corridor representative __________________________________________________

In order to ensure that the information filled in is accurate, we ask you to have this form countersigned by a fellow tenant from your corridor.

Name fellow tenant
Room number fellow tenant

Signature fellow tenant _________________________________________________


Please sent this form to Idealis, postbox 18, 6700 AA Wageningenn


To be filled in by Idealis date................................... initials ......................................