Common use of PERSONAL DETAILS Clause in Contracts

PERSONAL DETAILS. Please write your data exactly as they appear on your passport (or on other official documents) in a legible way. Incomplete or illegible applications may be rejected and cannot be processed nor answered. Surname: First name(s): Maiden and/or any other names that may have been used on official documents: Sex: ◻ male/ ◻ female Current nationality: Date of birth (dd/mm/yyyy): Place of birth: Permanent address in your home country (as mentioned in your passport or other official document): Street: N°/box: Postal code: Town/city: Country: Address in Belgium (if applicable): Telephone (country code + area code + phone number): E-mail: Programme that you will follow at Hasselt University: Pre-registration number or student number: Personal home bank (name + address): Personal home account number: Return this agreement, along with the proof of international bank transfer and a copy/scan of your admission letter and passport, to Xxxxxxxx.xxxxxxxx@xxxxxxxx.xx I hereby declare that this information is correct and complete and that I shall immediately inform Hasselt University of any change regarding my situation. I declare my acceptance of this Agreement in its entirety. Signature Place Date

PERSONAL DETAILS. Please write your data exactly as they appear on your passport (or on other official documents) in a legible way. Incomplete or illegible applications may be rejected and cannot be processed nor answered. Surname: First name(s): Maiden and/or any other names that may have been used on official documents: Sex: ◻ male/ ◻ female Current nationality: Date of birth (dd/mm/yyyy): Place of birth: Permanent address in your home country (as mentioned in your passport or other official document): Street: N°/box: Postal code: Town/city: Country: Address in Belgium (if applicable): Telephone (country code + area code + phone number): E-mail: Programme that you will follow at Hasselt University: Pre-registration number or student number: Personal home bank (name + address): Personal home account number: Return this agreement, along with the proof of international bank transfer and a copy/scan of your admission letter and passport, to Xxxxxxxx.xxxxxxxx@xxxxxxxx.xx xxxx.xxxxxxx@xxxxxxxx.xx. I hereby declare that this information is correct and complete and that I shall immediately inform Hasselt University of any change regarding my situation. I declare my acceptance of this Agreement in its entirety. Signature Place Date.

PERSONAL DETAILS. Please write your data exactly as they appear on your passport (or on other official documents) in a legible way. Incomplete or illegible applications may be rejected and cannot be processed nor answered. Surname: First name(s): Maiden and/or any other names that may have been used on official documents: Sex: ◻ male/ ◻ female Current nationality: Date of birth (dd/mm/yyyy): Place of birth: Permanent address in your home country (as mentioned in your passport or other official document): Street: N°/box: Postal code: Town/city: Country: Address in Belgium (if applicable): Telephone (country code + area code + phone number): E-mail: Programme that you will follow at Hasselt University: Pre-registration number or student number: Personal home bank (name + address): Personal home account number: Return this agreement, along with the proof of international bank transfer and a copy/scan of your admission letter and passport, to Xxxxxxxx.xxxxxxxx@xxxxxxxx.xx xxxxx.xxxxxxxxxx@xxxxxxxx.xx. I hereby declare that this information is correct and complete and that I shall immediately inform Hasselt University of any change regarding my situation. I declare my acceptance of this Agreement in its entirety. Signature Place Date.

PERSONAL DETAILS. Please write your data exactly as they appear on your passport (or on other official documents) in a legible way. Incomplete or illegible applications may be rejected and cannot be processed nor answered. Surname: First name(s): Maiden and/or any other names that may have been used on official documents: Sex: ◻ male/ ◻ female Current nationality: Date of birth (dd/mm/yyyy): Place of birth: Permanent address in your home country (as mentioned in your passport or other official document): Street: N°/box: Postal code: Town/city: Country: Address in Belgium (if applicable): Telephone (country code + area code + phone number): E-mail: Programme that you will follow at Hasselt University: Pre-registration number or student number: Personal home bank (name + address): Personal home account number: Return this agreement, along with the proof of international bank transfer and a copy/scan of your admission letter and passport, to xxxxx.xxxxxxxxxx@xxxxxxxx.xx and/or Xxxxxxxx.xxxxxxxx@xxxxxxxx.xx I hereby declare that this information is correct and complete and that I shall immediately inform Hasselt University of any change regarding my situation. I declare my acceptance of this Agreement in its entirety. Signature Place Date