Become a member

By filling in this form you can officially become a LIFE member.

LET OP: Als je een eerstejaars bachelor student bent, gebruik dan dit formulier om lid te worden.

Fields marked with an asterisk (*) are mandatory.

Personal infoName *
Surname *
Gender *
Date of birth *

Contact infoEmailaddress *
Phone number *

AddressStreet *
House number *
House number addition
Postal code *
City *
Country *

Master programmeWhich Master programma do you follow? *

Privacy

In order to become a LIFE member, you need to agree with our privacy statement. You can find it here.

I agree with the privacy statement *

InternationalI am an international student *

CDL membership

This information is only relevant for students registered for the Master Leiden.

I am already a CDL member

StudentnumbersStudentnumber Leiden
Studentnumber Delft

Sponsors