Holland Scholarship application form for outgoing students
First name *
Your answer
Prefix
Your answer
Last name *
Your answer
Email address *
Your answer
Date of birth *
MM
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DD
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YYYY
Gender *
Nationality *
Your answer
Country of residence (if not The Netherlands)
Your answer
Study programme at HvA / AUAS *
Your answer
Student number at HvA / AUAS *
Your answer
Grade Point Average (GPA) at HvA / AUAS *
Your answer
Country of destination with Holland Scholarship *
Your answer
Activity with Holland Scholarship *
Please specify your study programme, internship or research programme abroad with Holland Scholarship *
Your answer
Institution abroad with Holland Scholarship *
Your answer
Field of study programme, internship or research abroad *
Degree (if studying abroad)
Expected amount of ECTS with Holland Scholarship *
Your answer
Start date of study programme, internship or research abroad *
MM
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DD
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YYYY
End date of study programme, internship or research abroad *
MM
/
DD
/
YYYY
IBAN (International Bank Account Number) *
Your answer
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