Applying for municipal shelter - Gemeente Oegstgeest

Application form

Velden met een * zijn verplicht.

I am applying for a place (shared room) in the municipal shelter at Kasteellaan 5-7 in Oegstgeest.

Name: *

Date of birth: *

Gender: *

Man

Woman

I identify as ...

Residence address (address in Oegstgeest): *

E-mail adress: *

Telephone number: *

I speak English *

Yes

Do you have more family members at the same address who want to apply? *

Yes

Additional comments: