Duplicate request of diploma

I’m sending a request for a duplicate of my diploma (Required)

In Dutch

In English

In Dutch and English

Name (Required)

First name (Required)

Email address (Required)

Student number

Date of birth (Required)

Title of my degree (Required)

Academic year in which I obtained the degree (if known)

I wish to receive the documents as followed (Required)

I confirm that €50 per created duplicate will be charged and that this amount can not be claimed back

My postal address (fill out if you want to receive the documents by mail)

Remarks

Scan of my identification document (Required)

Pdf or image only, max 3MB