057 050 1008
0672464985
0787761206
125 Jan Hofmeyer Rd, Welkom, South Africa
applications@omarilodge.co.za
APPLY NOW
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057 050 1008
067 246 4985
078 776 1206
125 Jan Hofmeyer Rd, Welkom
applications@omarilodge.co.za
Home
About
Rooms
Contact
FAQ
Apply Now
Home
About
Rooms
Contact
FAQ
Apply Now
APPLY NOW
FULL NAME & SURNAME OF STUDENT
*
STUDENT EMAIL
*
STUDENT CELLPHONE NUMBER
*
CITIZENSHIP?
*
PREFERRED CORRESPONDENCE LANGUAGE
*
ENGLISH
PARKING SPACE REQUIRED?
*
Yes
No
DO YOU NEED SHUTTLE SERVICE?
*
Yes
No
VEHICLE REGISTRATION NUMBER
THE FOLLOWING QUESTIONS WILL ONLY BE USED TO PLACE YOU WITH A ROOMMATE THAT HAS SIMILAR INTERESTS.
INTROVERT
EXTROVERT
AMBIVERT(BOTH)
SMOKER
NON-SMOKER
DRINKER
SOBER CONSIDERED
OTHER
INTERESTS & HOBBIES
GENDER
Male
Female
Other
WHAT YEAR STUDENT WILL BE IN THE YEAR THEY REQUIRE ACCOMMODATION
1st YEAR
2nd Year
3rd Year
4th Year
Honours
Masters
Doctorate
Other
COURSE OF STUDY
*
PARENT/GUARDIAN FULL NAME & SURNAME
*
RELATIONSHIP WITH STUDENT (e.g. father/mother/guardian)
*
PARENT/GUARDIAN EMAIL
*
PARENT/GUARDIAN CELLPHONE NUMBER
*
PREFERRED PRICE CLASS FOR ACCOMMODATION
*
R4000
R3800
6500
PREFERRED TIPE OF ACCOMMODATION
*
2 PERSON SHARING
4 PERSON SHARING
1 PERSON
Consent
*
Yes, I agree with the
privacy policy
and
terms and conditions
.
Send Message
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Name & Surname
*
Email Address
*
Cell Number
*
Consent
*
Yes, I agree with the
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and
terms and conditions
.
JOIN
057 050 1008
067 246 4985
0787761206
125 Jan Hofmeyer Rd, Welkom, South Africa
applications@omarilodge.co.za
Facebook
Instagram
Whatsapp
© 2023 Created by yessweb.co.za
Pages
Home
About
Rooms
Contact Us
Applications
Apply Online
Download PDF Version
Upload PDF Version
APPLY NOW
057 050 1008
067 246 4985
0787761206
125 Jan Hofmeyer Rd, Welkom, South Africa
omarilodgeevents@gmail.com
Facebook
Instagram
Whatsapp
JOIN OUR WAITING LIST!
Name & Surname
*
Email Address
*
Cell Number
*
Consent
*
Yes, I agree with the
privacy policy
and
terms and conditions
.
JOIN
© 2023 Created by yessweb.co.za