Registration for information Registration Nederlands Papiamentu Registration formAbout youFamily name (required) *First name (required) *Email *Telephone / Fax *Date of birth *Address *ID number *Marital status *MarriedSingleGender *MaleFemaleAbout your spouseFamily name (spouse) *First name (spouse) *Date of birth (spouse) ID nummer (spouse) Adittional questionsDo you own a lot? YesNoDo you own a hereditary tenure (erfpacht)? *YesNoDo you own a house? *YesNoAre you registered at the Civil Registry Office (Burgelijke Stand / Kranshi)? *YesNoAre you registered at Domeinbeheer? *YesNoGross income per month is between (Ang.) *1500-25002500-30003000-40004000-55005500 or moreHow many people does your household consist of: 1-23-45 or moreIf you have children in school? YesNoIf yes, where do they attend? (name all schools) Who is your employer? *What is your function? *How did you hear about us? Friend/FamilyTVRadioSocial MediaWebsiteOtherIf other .. Please let us know .. Any comments? VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank:
