ARRIVAL FORM
Dear student,
Please complete the Arrival Form (in capitals and preferably by computer) and hand it in at Leiden
Visitors’ Centre after arrival.
ARRIVAL DATE at Visitors’ Centre Leiden
ONLINE APPLICATION STUDENT
NUMBER (A*****)
A
FIRST NAME
LAST NAME
O MALE
GENDER
O FEMALE
DATE OF BIRTH (dd-mm-yyyy)
NATIONALITY
Note: if you have dual nationality one of which is
an EU country, please choose EU nationality
(FUTURE) OFFICIAL ADDRESS
IN THE NETHERLANDS
STREET
HOUSE NUMBER
POSTAL CODE
CITY
Do not fill in this section: to be completed by Visitor Center Leiden staff
(Ruimte voor opmerkingen VCL)
Versie: 2013/2014
Datum: 04-02-2014