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Please note that this form is to be used
only
to receive back your financial guarantee.
Your name (as mentioned on your bank card)
*
Student number
*
E-mail
*
Address in the Netherlands
Street name
*
House number
*
Postal code
*
City
*
Your banking details from your Dutch bank account including IBAN
Example: NL02ABNA0123456789
Your Dutch bank account
*
Check
here
how we deal with your personal data
*
=
Input is required
Write your name as it is written on your bank card.
Example: J. Smith