Registration form

2026 Room Registration

Please fill in all fields accurately. Bed spaces are limited.

Room Selection

Select Hostel *

Personal Details

Full Name *

Email Address *

Phone *

Gender *

Date of Birth *

Current Level / Year of Study *

Student ID Number *

Programme *

Are you an old resident of Shepherdsville Hostel? *

Home Address *

City

Payment Details

Mode of Payment Used *

Guardian / Parent Details

Guardian / Parent Name *

Guardian / Parent Phone Number * Used for emergency contact. Must be different from the student's number.

Is the address above the same as your Guardian / Parent's? *

Document Uploads

Payment Receipt / Bank Deposit Slip / MoMo Screenshot *

Upload your bank deposit slip, receipt, or screenshot of MoMo/USSD payment. Accepted formats: JPG, JPEG, HEIC, or PDF. Max 1MB.

Passport Photo / Selfie *

Clear face photo. Accepted formats: JPG, JPEG, or HEIC. Max 2MB.

Student ID Card *

Upload a clear photo of your ID. Accepted formats: JPG, JPEG, or HEIC. Max 2MB.

Consent & Declaration

I agree and accept the Terms and Conditions. *

I understand that a bed space is only fully secured upon receipt of full payment. By making a part-payment, I willingly accept the risk that, in the event of overbooking, my deposit will be refunded to me in full but no bed space can be guaranteed. *

I declare that the particulars on this registration form are true and I have not suppressed any material fact. Any misrepresentation or omission of information will render me ineligible for student accommodation. I undertake to abide by the rules and regulations. In the event that I am found guilty of breach of contract, I hereby agree that management can terminate my accommodation contract and request I vacate the hostel premises immediately subject to no refund. *

Signature *

Sign below using your mouse or finger.

2026 Room Registration

✅ Registration Submitted!