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Application Form for the "Groen" Grant in Tytsjerksteradiel
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Your data
Please note that fields marked
*
are required
Name
*
Address
*
Zip code
*
Residence
*
Phone number
*
The phone number must begin with 0 and consist of 10 digits. Only digits may be entered in this field.
Email address
*
What is your IBAN?
*
You will find the IBAN on your (digital) account statements and/or on your card.
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