ESN VUB EhB Brussels Selling
!! Remember to bring a valid ID picture and 10 euros in cash at the pick-up point !!
Email address *
Name *
Surname *
Date of birth *
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DD
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YYYY
Gender *
Phone number (incl country code) *
Country of Origin *
Reason of stay *
How long are you staying in Belgium? *
Host University
E-mail adress (university mail)
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