Surname *:

Initials *:

First name *:

Gender *:Male
Female

Date of Birth *:

Address *:

Street *:

Zipcode *:

City *:

Country *:

Phone:

E-mail *:

INHOLLAND course *:

INHOLLAND location *:

Graduation year *:

Keep me posted about INHOLLAND Alumni activities: Yes
No

I would like to receive the newsletter INHOLLAND International Alumni: Yes
No

I am interested in guest lecturing at INHOLLAND: Yes
No

I have a specific question or remark:

Tell us your ideas (The International alumni platform is a new INHOLLAND initiative. Any suggestions or expectations you might have concerning the International Alumni Platform will help us in making it more useful and effective. Please state them here.):