Pickup / Temporary Accomodation Form

ATTENTION : Please fill in the form 10 days in advance to your travel date. Pick-up and temporary accommodation is limited only to Indian Graduate (MS/Ph. D) Students at Drexel University. If any Drexel undergraduate students require help, please contact Disha, Indian Undergraduate Association at Drexel University, at www.dudisha.org.

First Name

Last Name

Program Enrolled

E-mail Address

Phone Number(eg. 91-11-25822673)

Date of Arrival(mm/dd/yyyy)

Time of Arrival (Phily time)

Pickup Yes No

Temporary Accomodation? Yes No

Comments?