Application form Bachelor in Information & Communication Technology (online) Full-time Curaçao

Personal details

Last name (maiden name when married) •

Prefixes

First names •

Date of birth •

Country of birth •

Gender •

Citizenship •

Identity number •

Proof of identity (valid sedula or passport, NO driving licence) •

Photo •

Street •

House number + suffix •

Postal code

City

Country •

Email •

Telephone mobile •

Telephone landline •

Do you live on the campus? •

Are you married? •

Do you have a learning disability or other medical condition that we should consider? If yes, specify which.

Name of person that we can contact in case of an emergency? •

Telephone number emergency contact •

Relationship with emergency contact (for example: parent/sister/partner/etc.) •

Type previous education •

Year of examination •

Name school of previous education •

Diploma previous education (make sure everything is visible) •

Grade list previous education (make sure everything is visible) •

Type of student •

Do you have a study loan? From which institution did you receive this loan? •

Do you have any additional documents like a speech therapy test, decision of the exam committee or faculty? Please upload here.

Additional remarks

Student charter

I hereby authorise the UoC to verify my diploma and grade list.

I hereby declare that I have filled out the above form truthfully.