Registration form for contract-students at the Faculty of Science

Please note: if applicable, please use your maiden name.

You will receive a copy of your completed form by email after submission. In that email, you will find the answers you have submitted, as well as - if applicable - all necessary information regarding the payment.

-----------------------------------------------------------------------------------------------------------------------------

I hereby wish to register as a contract-student.

Fields marked with * are mandatory.

Uw gegevens

Email *

Address *

Zip code

City *

Telephone *

First name *

Initials *

Last name *

Gender *

Previous school: only for high school instructors

Date of birth *

Place of birth *

Copy of your passport / national ID card *

My previous education at Radboud University

Have you been a (contract-) student at Radboud University (formerly called KUN) before? *

Please enter your student number, in case you received one at the RU / KUN before

I am a PhD student *

Yes

No

I am doing my PhD at the following institute or graduate school

RU - Faculty of Science

Max Planck Institute for Psycholinguistics Nederland

Donders Graduate School

Graduate School Experimental Plant Sciences (EPS)

Research School Subatomic Physics (OSAF/Nikhef)

Netherlands Research School of Chemical Biology (NRSCB)

Netherlands' MAgnetic Resonance Research School (NMARRS)

Not applicable

My employee number at the Radboud University (Medical centre) is: (if applicable)

The course(s) I wish to register for

Which courses do you wish to register for? Please state the name and code of the course(s) as referred to in the prospectus. Also state the number of EC per course. Also indicate, per course, whether or not you will participate in the exam. *

Concerning Academic year *

The lecturer of a course will usually appreciate to know that there are students following the course who are contract students at the university. Please contact the relevant lecturer beforehand by e-mail using the address provided by the prospectus.

My payment details

For individual students the costs amount to 100 euro's per EC. For organisations/companies the costs will be determined per request. Will you pay for the contract-course(s) yourself, or will your employer / organization / company pay for you? *

I will pay for the course(s) myself. I will transfer the amount a.s.a.p. to: IBAN: NL08ABNA0231247834, in the name of St .KU Radboud Universiteit Nijmegen / faculteit NWI, reference: 622000 contractonderwijs NWI. I know that I will not receive an invoice.

My employer/organization/company will pay. Below, I will fill out the address where the invoice should be sent to.

Payment by myself:

Please transfer the amount of money that is due to:

IBAN: NL08ABNA0231247834
ABN-AMRO bank
In the name of: St .KU Radboud Universiteit Nijmegen / faculteit NWI
Reference: 622000 contractonderwijs NWI

Please note: you will NOT receive an invoice.

Amount due: Number of ECs (only applicable if you finance the contract yourself)

x € 100,- incl. taxes (21%) =

Payment by my employer / organization / company:

Please see the payment regulations (pdf, 169 kB) with regard to the contract.

I hereby declare that (please tick the box):

I agree with the payment regulations with regard to the contract as decided upon by the Faculty of Science.

Total amount to be collected

BILLING ADDRESS

You will receive an invoice by post. You can enter the billing details below:

Please note: only to be filled out for payment by employer / organization / company!

Invoice in the name of:

Billing address (street, zip code, city)

The Faculty of Science will treat your personal details in a careful and confidential manner, and will not distribute your personal details to third parties. Should you have further questions, please contact us by using the contact information on the Contract students page.

CAPTCHA *

Click here for a new captcha

Registration form for contract-students at the Faculty of Science

My previous education at Radboud University

The course(s) I wish to register for

My payment details

Payment by myself:

Payment by my employer / organization / company:

BILLING ADDRESS

Select a faculty

Academic years

Directly to

Contact