Name:
First Name:
Student-ID:
Function:
Orientation:
e-mail:
Local adress:
telephone, local:
Home adress:
telephone, home:
internal phone:
lastlmemberyear :
status:
member
honorary member
debugger
assistent/prof
dinfntlogin
client login :
client password :
accesslevel
none
igclient
reservatieclient
admin