Leonards Homes Datacenter

Student Application

Start your journey with us. Secure hostel accommodation in minutes.

Personal Details

Title

First Name *

Middle Name

Surname *

Date of Birth *

Ghana Card Number *

Email Address *

Phone Number *

Residential Address *

Next of Kin Details

NOK Title

NOK First Name *

NOK Surname *

Relationship *

NOK Telephone *

Medical Information

Confidential

Your medical information is strictly confidential and will only be used for your safety and well-being while on our premises.

Do you have any disease or chronic illness? *

Yes

Do you have any allergies? (Food, Drugs, etc.) *

Yes

Are you on any medication? *

Yes

Criminal Record Information

Confidential

The following information is strictly confidential. Disclosure of a previous record does not necessarily disqualify your application.

Have you been arrested before? *

Yes

Have you been charged with any criminal charges by the police? *

Yes

Have you been charged to court before? *

Yes

Academic Details

Institution Name *

Course Title *

Current Year / Level *

Accommodation

Preferred Hostel *

Type of Accommodation *

1 in a room

2 in 1

3 in 1

4 in 1

Preferred Visit/Selection Date & Time *

Intended Move-in Date & Time *

Do you have any specific accommodations or notes? *

Required Documents

Passport Photo *

Upload Photo Max 2MB

Gov't ID *

Upload ID PDF/IMG Max 2MB

Letter *

Letter PDF Max 2MB

By clicking submit, you agree to our Terms and Privacy Policy.