Application form Scholarships Prince Claus Conservatoire

Personal/Study Details

First name *

Last name *

Student number

E-mail address *

Instrument *

Department

Address in the Netherlands

Address in your country *

Bank Details

IBAN (bank account) number in the Netherlands

Please attach a copy of your latest bank account balance

Bank account number in your country *

Please attach a copy of your latest bank account balance *

Income/Expenses

How much can your family contribute per month? *

How much per month did your family contribute in the past years? *

Please attach an overview of your income and expenses (please be as specific as possible: your yearly and monthly costs) *

Scholarship Details

For which external scholarships did you apply for next year? Please also indicate if you've got a confirmation from external scholarships (leave empty if you did not apply for external scholarships)

Please attach an overview of your past PCC Scholarships here

Study Results

Please send a copy of your Osiris study/credit overview (if you have one)

What is your average grade?

* = Input is required

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