Application for Accommodation 

Application for Accommodation

How to Apply

In order to qualify for residence within La Providence or benefit from its outside care, applicants must be able to satisfy the Directors of their direct descent from a French Protestant family and themselves be resident in Great Britain. If you believe you qualify and wish to apply to become a resident at The French Hospital please complete and submit the form below.

If you have a historical query, please contact the Huguenot Society Library: www.huguenotsociety.org.uk

Application for Accommodation at The French Hospital, Rochester
  
Title
Initials
Last Name
Email Address
House No. [or name] & Road
Town
City
County
Post Code
Telephone
Mobile No.
Are you of Huguenot descent?
If yes, please state Huguenot name
Date of birth [person A]
[dd/mm/yyyy]
Date of birth [person B - if applicable]
[dd/mm/yyyy]
Accommodation requested
If you would like to add any additional information you may do so below
Click "Submit" and you will hear from us soon...     

Thank you for your interest in The French Hospital

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