Request registration as a guest student

Personal details

First names (as stated in passport) *

First name by which you wish to be called

Surname prefix

Surname *

Place of birth *

Date of birth *

dd/mm/yyyy

Male

Female

Non binary

Other, namely.

Nationality *

Leiden University student number

Street and house number *

Postcode *

Town/city *

Country *

Telephone *

E-mail *

Academic year *

Study programme *

Courses *

Level *

Bachelor

Master

Which university (of applied sciences) will issue the BBC? *

How will you submit the BBC? *

I will ask my institution to send a digital BBC to Leiden University

I will sent an original BBC by post

Ask your institution to send the digital BBC to studentenadm@sea.leidenuniv.nl.

Send the original BBC to:

Leiden University Student Administration
Postbus 9500
2300 RA Leiden

*Send the original BBC. Copies cannot be accepted.

Don’t yet have a statement? Find out how to request one by reading the steps for guest student registration.

Statement issued by your own study adviser *

Statement issued by Leiden University study adviser *

I have completed this form truthfully. *