Accommodation form

Date of Arrival *

dd/mm/yyyy

Date of Departure *

dd/mm/yyyy

What is the purpose of your stay? (Max. 250 characters) *

Room type

Which Room type do you prefer

shared

single use

en-suite

mini-apartment downstairs

Couperus apartment upstairs

Other, namely: Other, namely:

Are you entitled to the A-rate?

No

Yes

In case of yes: Please provide us with the link to your profile page on the University’s website or other proof of affiliation. *

First Name *

Last Name *

Email *

Telephone *

Further: Do you have any questions / other remarks?

I give explicit permission to the KNIR to use my data for the administrative processing of my request. *

Subscribe to Newsletter *

Yes

No

Already subscribed

The privacy policy and privacy statement of the UG can be found here

Het privacybeleid en de privacyverklaring van de RUG vindt u hier

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