SCHOOL OF HUMANIT IES
Application for Facilities
To be filled out by guest:
ANR (if known)
Title(s) before surname
Title(s) after surname
Initials
First name
Prefix
Surname
Street and house number
Postal code
City
Country
Private e-mail
Private phone number
BSN (if known)
To be filled out by School of Humanities:
Affiliation with TiU
Hospitality agreement (for example:
guest lecturer; guest researcher; visitor)
External PhD researcher
Scholarship PhD researcher
Unpaid intern
KCS
Employment agency
Preferred language of communication
NL / ENG
Starting date facilities
End date facilities
Room number
Phone number
Phone number in case of absence
Supervisors
Budget code
Name Head Department / Manager Office
Send this form together with a copy of the passport or ID-card (front and back)
to the secretary of the Department / Graduate School.