Ending your membership

Velden met een * zijn verplicht.

Personal information

Please, state in the box below what kind of student you are: Fulltime/Parttime/International Bachelor Psychology/ Pre-master

Fields with an * are compulsory

Type of student
Last Name *
First Name *
Initials
Gender
Student ID-number
Date of Birth (DD-MM-YYYY) *
Street name and house number *
Postal Code *
City *
Telephone/ cell phone
E-mail address *
Today's date (DD-MM-YYYY) *
European bank account (IBAN)

If you wish to end your membership, you need to clarify whether you want to end your membership as of today or as of the end of the academic year.

I want to end my membership *

Comments

If you have any other questions or comments about your deregistration, you can enter them here.

Comments

You agree to the followingI have filled out this form truthfully *

Bevestiging geen robot

Op dit formulier is een beveiliging actief. Los de som op om verder te gaan, en gebruik cijfers in het antwoord.

Ending your membership

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