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