Register Open Day Hanze UAS

First name *

Prefix

Surname *

Nationality *

Gender *

Male

Female

Date of Birth *

dd/mm/yyyy

Postal Code

House number

Suffix

Street

City *

Country *

E-mail *

Mobile number *

Details educational background

Previous degree obtained *

Name of your secondary school / university

Location school (city)

I want to visit the open day on *

Saturday, 10 November 2018

Start date

Type of programme *

[type_of_programme] degree programme (choice 1) *

STAD_code

[type_of_programme] degree programme (choice 2)

STAD_code

How did you find out about Hanze UAS? *

I give Hanze UAS permission to inform me regarding their programmes and student life in Groningen.
Hanze UAS guarantees to use your contact details solely for these purposes. *

Yes

Relatienummer (CRM ID)

* = Input is required