RNI - Gemeente Heerlen

Send this form to:
Heerlen Council
Public Affairs
Department
PO Box 1
6400 AA Heerlen
14 045
+31(0)45 560 50 40
www.heerlen.nl
Request for correction/addition of
details in the Personal Records
database for Non-Residents (RNI)
The completed and signed application form can, together with a copy of a valid
proof of ID, be sent to [email protected]
1 Undersigned
Name
First names (in full)
Page
1/2
Date of birth
Form version number
Place of birth
20.02.2017
Citizen Service Number (BSN)
Gender
 male
 female
Telephone (mobile)
Contact telephone number (if applicable)
E-mail address
Requests the following corrections / additions in the Personal
Records database (RNI):
 Addition to birth details
Which details?
 Addition to nationality details
Which nationality
 Changes to address abroad
New address abroad
Read more >>>
Postbus 1, 6400 AA Heerlen, t 14 045 / +31 (0)45 560 50 40, [email protected], IBAN NL73INGB0672814471
Pagina
2 Applicant signature
2/2
A copy of a valid proof of ID must be included with this application.
PlaceDate
Signature
You can read through the actual costs and conditions of your application on www.heerlen.nl/producten-endiensten. Heerlen council attaches great value to your privacy. Your personal details will be carefully dealt with and
secured and only used for processing your application for a correction/addition for details in the Personal Records
database for Non-Residents (RNI)
Postbus 1, 6400 AA Heerlen, t 14 045 / +31 (0)45 560 50 40, [email protected], IBAN NL73INGB0672814471