Tekst in het wit You must have JavaScript enabled to use this form. Enter your personal details. Atlas contacts you to make an appointment. First name Family name Date of birth Date of birth: Day Day12345678910111213141516171819202122232425262728293031 Date of birth: Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Date of birth: Year Year1930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020 Telephone Which number do you use for WhatsApp? E-mail National registration number What is my national id? I have none Why do you want an appointment? Do you speak Dutch? - Select -noa littlewellvery well Which languages do you speak? What diploma do you have? - Select -no qualificationprimary educationsecondary educationbachelor or masters degreeother When are you available? Mark as many options as possible. When would you like an appointment? Please tick all possible options. Monday 9:00 – 12:00 13:00 – 17:00 Tuesday 13:00 – 17:00 Wednesday 9:00 – 12:00 13:00 – 17:00 Thursday 9:00 – 12:00 13:00 – 17:00 Friday 9:00 – 12:00 I am not available during the day. I am only available after 17:00. Would you like an online appointment? You will need: to have a computer, tablet or smartphone. to have a good internet connection. to be able to pay online with the Payconic or Bancontact app, Maestro or Visa/Mastercard. to be available for a maximum of 2 hours. to be in a quiet location. Yes, I would like an online appointment. No, I would like an appointment at Atlas, Carnotstraat 110, 2060 Antwerp. Do you have a question or a comment? Leave this field blank
