Check-In and Check-Out Agreement

Urban Place Gangnam

Resident (Legal) Name: _________________________ Room Number: ___________

I, certify that as of the date listed below, I am taking possession of room #___________
located at Urban Place Gangnam (30, Hyoryeong-ro 77-gil, Seocho-gu, Seoul,
South Korea 06628) and accept the unit in its AS IS condition unless otherwise
noted.

Move-In Date: Move-Out Date:

Inspection Date (if different): Inspection Date (if different):

RA/Staff Present: RA/Staff Present:

Note: Unless otherwise noted, all rooms are clean and the following elements of the
room are in good working condition.

Items Quantity Condition at Mid-Semester Condition at

Move-In: Check (11/1): Move-Out:

UP Bed 1

TV Remote 1
Control

Writing Desk 1

Desk Chair 1

Desk Lamp 1

Curtain 1

Gas Range 1

Refrigerator 1

TV 1

Wardrobe/ 1
Drawer

Safety Box 1

Bathroom 1
 Wall/Wallpaper

Floor

Kitchenette

MSKGI Folding Chair 1

Frying Pan 1

Stove Pot 1

I certify that, as a resident at Urban Place Gangnam (30, Hyoryeong-ro 77-gil,

Seocho-gu, Seoul, South Korea 06628), I have received the following access key card
to my unit.

ITEMS MOVE IN Date/Time MOVE OUT Date/Time COST

1 Room Key Card USD $40

I (the resident), understand that unless otherwise noted, all discrepancies at the time of
check-out will be my responsibility and I will be charged to my student account for the actual
cost of repair or replacement for any damages or negligence of the unit upon move out.

Check-In Resident:

Name: ____________________ Signature: ___________________Date: __________

RA/Staff Present:

Name: ____________________ Signature: ___________________Date: __________

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Check-Out Resident:

Name: ____________________ Signature: ___________________Date: __________

RA/Staff Present:

Name: ____________________ Signature: ___________________Date: __________