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Please may we ask you to return this file in Word version and not in PDF

Contact Information-ID FORM


+02 & +03 FLOOR – LONG STAY:
Contact Information
All fields are required for a valid rental agreement

1. Surname: Anik
2. First name: Virág
3. Date of birth: 2000.12.13.
4. Place of Birth: Nagykanizsa, Hungary
5. ID Card/Passport number: 647561NE
6. Student’s email address: anik.viragvgmail.com
7. Tel.no. /mobile phone no: 0630 845 87 17
8. Sex: F

Principal residence:
9. Address: Hungary, 8776 Magyarszerdahely, Petőfi út 10.
10. Municipality and ZIP code: Magyarszerdahely, 8776
11. Country/nationality: Hungary / hungarian
12. Email address of one of the parents: gabi.anik@gmail.com
13. Tel.no. /mobile phone no. of one of the parents: 0630 837 10 05

14. Bank Information:

Bank Information : Info from your local account in your home country.
IBAN : HU84101049853244060001005009
BIC or SWIFT : MKKBHUHB XXX BIC
Bank Address:
Street : Váci út 193
Street Nr° :
Box :
Zip Code : 1138
City : Budapest, Hungary

15. Room preference (Single room or shared double room): shared double room
16. Duration of stay = 01/02/2024 - 31/07/2024 (no other option available)
17. Special remarks (i.e. name of person you would like to share a room with):

18 . ADD SCAN PASSPORT OR ID CARD BELOW


19. ADD SCAN INVITATION LETTER VUB BELOW

20. COPY Registration Certificate of VUB. (You will receive this when you arrive at
VUB, please give copy afterwards. This paper is also needed for student discounts
for Brussels public transportations.)

Please may we ask you to return this file in Word version and not in PDF

ID:
Invitation letter:

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