Registration form - Shepherdsville

2026 Room Registration

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

🔑 Have a booking code?

If the office reserved a bed for you, enter the code you were given. It unlocks your reserved room even if it shows as full. Leave this empty if you're booking normally.

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!