Date of Birth *

MM

DD

YYYY

Unmarried

Married

Registered as partner

Separated

Date of Birth

MM

DD

YYYY

Interested in property (multiple options)

van Houdringelaan 16, Oegstgeest

Other (fill in at the comments field)

Desired rental date of *

MM

DD

YYYY

General provisions *

This publication is intended for use by members of the NVM. Use by others than NVM-members and emphasis are not allowed. General provisions-the information provided will be treated strictly confidential. -This request is one year, if necessary, be taken into account. After this time limit may, at the request of the applicant for extension of the application. -At the bottom of this form may not be entitled to allocation of a dwelling. -A request without giving any reason can be rejected. -Applicant shall submit with this form to add data from which the income arises. -Applicant will upon a commercial lease a lease that signs in accordance with the specimen contained in the relevant landlord is customary. -All oral and written communications on any rental of a dwelling shall be deemed to have been made subject to that license and permission by the owner/copyright holder will be granted. If in retrospect prove, that no authorization and/or permission has been obtained, then will the rental are deemed not to have come and will to any communication you receive no rights can be derived towards us or to any third party, whoever, in the broadest sense of the word. Any liability on our part is excluded in this field. - applicant is co-financing known, that the information above be included in a personal registry as referred to in the personal data protection Act (Wbp).

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