Next of Kin form

Personal data
Given name(s) as in passport

☐ Male ☐ Female

Address

Zip code

City

Country

E-mail address

Telephone number

Mobile phone number

Date of birth

Place of birth

Country of birth

Nationality

Marital Status

Dutch soc. security nr (BSN / Sofi nr)

British National Insurance Number

British Unique Tax Number

Other personal data

Shoe size

Clothing size

Nearest airport

Drivers License ☐ Yes ☐ No

Drivers license number

Passphoto Please send a digitall passphoto to: office@gerwil-sliedredge.com

Next of kin (in case of emergency)

Relation to the next of kin person

Telephone number next of kin

E-mail address next of kin

Bank details

Name of Bank

Full address of the bank

Name beneficiary

Account number

Currency

IBAN nuber

Swift number

BIC code

In Case of visa or other application

Height

Color of eyes

Color of hair

Physical peculiarities, if any like tattoos,

scars, description and place

Full name(s) of father

Full maiden name(s) mother