Guest apartment reservation request

Academic title

Family name*

First name*

Street, No.*

CIP/Postal Code*

City*

Country*

Email*

Phone no. or mobile phone*

Assumption of costs*

I bear the costs myself.

The expenses will be absorbed by a third party. See next field.

Sponsor

Date of Arrival*

Date of Departure*

Number of Adults*

1

2

3

4

Number of Children

0

1

2

Additional bed

rentable duration: 3 nights at maximum

Parking space at the underground car park

no longer than the duration of the booking

I accept that smoking is only permitted in the designated areas*

I am already admitted for a research place, respectively scholarship place of the MPI