Application form Dutch For Reading Knowledge

With this form you can apply for the course Dutch for Reading Knowledge.

Personal Data

Last Name

First Name

Date of Birth (dd-mm-yyyy)

Gender

Female

Male

Other

Native language

Street and house number

Postal Code

City

Country

Telephone

Other questions

Which other languages do you speak?

Which Institute do you work/ study at?

What is your position? (student, phd, researcher, etc.)

What is your major/ field of expertise?

What is the main reason for attending this course?

I would like to focus on

Modern Dutch

17th/18th c. Dutch

Both

Terms and Conditions

By ticking this box I agree to the following conditions. • The course fee is €980,-. A refund is only possible if written cancellation is received at least four weeks before the start of the course. A ten percent administration charge will be deducted from each refund. • If there are less than 8 applicants for a group, the group will be cancelled. Those who have already paid the course fee will be completely refunded

I agree to the terms and conditions

Application form Dutch For Reading Knowledge

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