Indian Students/Interns pursuing studies in Belgium / Luxembourg
Embassy of India, Brussels
Chaussée de Vleurgat 217, 1050 Ixelles, Brussels, Belgium
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Name of the student *
Passport Number *
State of origin in India *
Date of arrival in the Belgium / Luxembourg *
MM
/
DD
/
YYYY
Name and duration of the course *
Name of the College / University *
Country of the College / University *
Whether you are registered with the Embassy *
Your Emergency Mobile Contact Number *
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