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Faculty of Humanities
Registration Form Study a la carte
Course(s) (Title + prospectus nr.)
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Gender
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Female
Male
Non-binary
Don't want to say
Initials
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First name
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Family name
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Street name + house number (Dutch residential address)
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Postal code
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City/town
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Telephone number
Date of birth
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dd-mm-jjjj
Email address
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Leiden student number
Terms and Conditions
I agree with the Terms and Conditions
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The Faculty of Humanities declares that the personal data in question will be treated confidentially and by
the applicable regulations, will only be used for the purpose for which this form has been drawn up, and
that the data will be erased no later than three months after the last processing action or immediately
after the person concerned reports via webredactie@hum.leidenuniv.nl
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Invoer verplicht