Application form

International Summer School at the Hochschule Bremen

International Summer Academy of Maritime Studies 2012

Personal data

Reservation of accommodation

Accommodation	Single room Double room
	in hotel or hostel
Type of accommodation depends on availability. A change of rooms will be not possible during the course.
I would like to share a room with
Are you Smoker or Non Smoker?	Smoker Non smoker
Do you suffer from an allergy?	No Yes, please specify:

Statement

Course Terms
Statement*	I understand the course regulations of participation. I hereby enrol for the course mentioned above.
Notes
Before submitting this form, we suggest that you print it out for your records.