22nd Delegation Application
Dear Applicant,

First of all, congratulations on your first step to becoming a member of the 22nd Delegation of United Netherlands! 
Make sure to fill out the form below as accurately as possible, and do not forget to email the required documents to admission@unitednetherlands.org. Good luck!

All the best, 

Wisse, Marije, Marta, Danique, Okko, Thorben & Muriel
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Name [first and last] *
Date of birth *
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DD
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Place of birth *
Nationality *
Address [street, number, postal code, city] *
Phone number *
E-mail address *
Second e-mail address
University *
Study program *
Specialization
Phase of study during academic year 2024-2025 *
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