Application

Thank you for your interest in WPÜ RESIDENCE SHINJUKU. We kindly ask that you complete and submit the form below. We will review your submission and respond within three business days.

Name*

Enrolled School, Department, Internship*

Nationality*

Birthdate*

Room Type*

Preferred move-in date

Preferred move-out date

Email*

Phone*

How did you come to know about WPÜ?*

Referrer's name

Please specify

Note

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