First Name:
Name:
Student-ID:
Function:
Orientation:
1e KAN INFO
2e KAN INFO
1e LIC INFO
2e LIC INFO
1e LIC VP INFO
2e LIC VP INFO
OTHER
e-mail:
Local address:
telephone, local:
Home address:
telephone, home:
internal phone:
lastlmemberyear :
status:
member
honorarymember
debugger
assistent/prof
dinfntlogin
client login :
client password :
accesslevel
none
igclient
reservatieclient
reservatieadmin
igadmin