Registration online form (english version)

Documents to be provided :

ID, family booklet or passport, resident’s permit photocopy
Income statement or tax notice
photocopy of the latest pay slip or employment contract or Placement or training course certificate or student card or certificate of school attendance photocopy

2 photos
RIB (personal bank details) on behalf of the resident

You can send documents :

By post:

Etap'HABITAT

2 rue Georges Ducrocq
F-57070 METZ

By e-mail to fjtmetz@wanadoo.fr
By form (PDF, JPG, GIF, PNG, DOC formats / max size: 2 Mo):

The form fields marked with an * indicate a required field.

Your details

Last Name :*

First Name :*

Gender :*

Male

Female

Marital status :*

Date of birth :*

Day

Month

Year

Place of birth :*

Nationality : *

Geographic origin :*

1/5

Your contact information

Street :*

Zip Code :*

City :*

Country :*

Email address :*

Phone number :*

Vehicle identification number :

Type of vehicule :

2/5

Are you under 18 ? :*

Yes

Legal representative (if you are under 18)

As :*

Representative's Last Name :*

Representative's First Name :*

Representative's Phone Number :*

Representative's Street :*

Representative's Zip Code :*

Representative's City :*

Representative's Country :*

Representative's Professional Status :*

Representative's socio-professional category :*

3/5

Details about your stay

Date of arrival :*

Day

Month

Year

Date of departure:*

Scheduled

Undefined

Scheduled day of departure :

Day

Month

Year

Housing type and choice of residence

First choice :*

Second choice :*

Third choice :

4/5

Statistical Information

Socio-professional status :*

Grade level :*

Monthly wage :*

Mode prior habitation :*

Motivations of choice of accommodation in FJT :*

Motivations of entry :*

How did you hear about us? :*

Specify:

Your message :

Attach files (1 or more files, 2Mo max.) :

Thank you to fill the result :

(1) By submitting my information, I agree to be contacted electronically or by telephone by Etap'HABITAT and I accept that this information is used in connection with my request and the commercial relationship that may result. I can modify or delete my information on request. Learn more.

I understand and accept (1)

5/5

Your submission and request for housing imply in no case the giving out of an accommodation.