I would like to apply for the Hanze physical Pick-up Service

I hereby declare that I am aware that I am signing up for a physical pick-up at the provided address,
and thus will be accompanied by a student of the Hanze International Student Team during my travel to Groningen. *

Please sign up for a physical pick-up in time. If you sign up for a pick-up at least 2 weeks in advance, we can guarantee that you will be picked up.

First name *

Last name *

If you travel with fellow prospective students or anybody else, please indicate their first and last names in the box below:

Please indicate the total number of students to be picked-up (including yourself): *

First and last names of fellow student(s) or persons you travel with

Your email address *

Student number *

Country of residence *

Mobile phone number *

Pick-up option *

Date of arrival in the Netherlands *

Time of arrival in the Netherlands *

Do you have a direct flight to the Netherlands? *

Yes (I take a direct flight to the Netherlands)

No (I have one or more stopover(s) on the way to the Netherlands)

Departure airport *

Initial airport of departure *

Flight number of first flight *

Flight number of second flight *

Flight number of third flight (optional)

Flight number of fourth flight (optional)

Flight number of fifth flight (optional)

Flight number *

Date of arrival in Groningen *

Estimated time of arrival in Groningen *

Address of your accommodation in Groningen *

Type of study programme you are going to follow at Hanze UAS *

Bachelor degree programme *

Other: *

Master degree programme *

Other: *

Exchange programme: *

Comments

* = Input is required