Language Center Registration
Wishes to register for course
Course
Dutch II for International Students
(€450)
Course code
104681-B-6
Remark
excl. study materials
Start of course *
Autumn 2023
Spring 2024
If there are more groups available, please fill in the group number; see the
Catalogus
You are registering as
employee Tilburg University
Personal Information
Data must be entered as shown in passport.
Surname *
Surname prefixes
Initials *
Given names (as stated in your passport or ID) *
First name (as called by family and friends) *
Gender *
Female
Male
Email *
Telephone number *
Date of birth *
Street name *
House number *
House number suffix
Postal code *
City *
School or service
Administration number
Have you already taken a course at the Language Center? Please specify.
How did you hear about our course?
.
a search engine, e.g. Google
the Tilburg University website
friends or family
the municipality. Please enter the name of the municipality at
Other/extra info ...
Facebook
LinkedIn
the company I work for. Please enter the name of the company at
Other/extra info ...
the Tilburg University alumni newsletter
a specific site. Please enter the name of the site at
Other/extra info ...
Other/extra info …
Payment method
Select payment method *
iDeal
School or service
iDeal
You will pay with iDeal or credit card
Payment by School or Service Tilburg University
Please provide proof that a school or service is to pay the fee for the course. This proof should be enclosed with this registration form, if this proof is not enclosed your registration will not be processed.
Download the approval form
.
Proof op payment approval *
Acknowledge
Terms and conditions *
I hereby declare that I know and agree to the
terms and conditions
of enrolment of the Language Center of Tilburg University.
Entry level *
I fullfill the requirements concerning entry level and/or entry requirement stated in the course information.
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