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Title
First name
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Last name
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Email adress
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Telephone
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Please indicate the service about which you have a complaint:
Language Centre section
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<select your choice>
Dutch
English
Modern Foreign Language
Intercultural Communication
University Translation and Correction Service (UVC)
General / no section
Course code or quotation number
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Do you take this course to prepare for the Civic Integration Exam or State Exam NT2-II?
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Yes
No
Language Centre teacher or staff member (if applicable)
Nature of the complaint
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What did you do yourself to resolve the problem and how did that go?
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