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Personal details

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First name *

Last name *

Nationality *

Date of birth *

Street + house number *

Zip code + City *

E-mail *

Area code + Phone number *

Living in the Netherlands for more than 6 months? *

Yes

Category *

Employment details

Employer

Employer partner (if applicable)

Type contract

Type contract partner (if applicable)

Gross monthly income *

Gross monthly income partner (if applicable)

Rental details

Which region are you looking for a home?

For how many persons *

Preferred start rental *

Preferred length rental *

Maximum rent all-in per month *

Notice period + If yes, duration of notice period (in weeks)

Furnished *

Type of accomodation *

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