Aanvraagformulier individueel verblijf Request form individual stay Step 1 of 4 25% Date of arrival* DD slash MM slash YYYY Date of departure* DD slash MM slash YYYY A minimum of 3 nights is required What is the purpose of your stay? (max. 250 characters)* RoomsWhich room type do you prefer?* En-suite Shared facilities Mini-apartment (kitchen, living room, en-suite) Personal detailsFirst name* Last name* Email* Telephone number*Are you affiliated to one of the following institutions?* University of Amsterdam Free University Amsterdam Leiden University University of Groningen Utrecht University Radboud University Other university University of Applied Sciences Other, namely Which university?*Which university Anders namelijk affiliatie* FinallyDo you have any questions/ remarks?Authorization* I give explicit permission to the KNIR to use my data for the administrative processing of my requestThe Royal Netherlands Institute in Rome follows the Privacy Statements of the University of Groningen. For more information and questions about data processing by the Royal Netherlands Institute in Rome, please contact the Centraal Loket Privacy of Groningen. Email: privacy@rug.nl
