Extending concession

Your details

Concession

Your details

First name *

Surname *

E-mail address *

We will only use this e-mail address for this request.

Phone number *

We will only use this phone number for this request.

National registry number or Belgian identification number *

E.g. 06.02.23-123.45

Je relatie tot de overledene *

Bv. dochter, zoon, zus, broer, ouder …

Street *

House number and box *

Postcode *

Municipality *

We only use your data for this request.
We will only transfer them to third parties if this is necessary to process your request.
We will not keep these data for longer than necessary.

Read more about how the City of Leuven processes your personal information in our privacy statement.

Something wrong or unclear on this page? Let us know.