Registration form

Formulier invullen, en hoppa, je bent ingeschreven bij ROOM!

Kom je ergens niet uit? Chat met ons!

Fill out the form and that’s it – you’re registered at ROOM!

The fields marked (*) are mandatory.
Please note: you must enter at least 1 telephone number and an email address. You must complete the mandatory fields before you can go to the next step.

Personal details

I'm a… ^*

male
female

Initials ^*

Please enter your initials here, not your surname, e.g: H.I.

Given name ^*

Preposition

For example: van der

Last name ^*

You cannot change these data yourself after completing your registration

Date of birth ^*

You cannot change these data yourself after completing your registration

Current address

You live in ^*

Postal code ^*

House number ^*

House number suffix

Street ^*

City ^*

Other (1 telephone number is mandatory)

Telephone (private)

Telephone (work)

Telephone (mobile)

Email address ^*

Next step

Step 1 Applicant
Step 2 Study details
Step 3 Account
Step 4 Payment

{{ section.header }}

Registration form

Formulier invullen, en hoppa, je bent ingeschreven bij ROOM!

Fill out the form and that’s it – you’re registered at ROOM!