*** NOTE that registrations are open from 1 February 2016 onward. ***
* required fields
Please fill in a name.
Please fill in a first name.
Please fill in a day of birth.
Please fill in a place of birth.
Please fill in a nationality.
Please fill in an id number.
(Belgian citizens please use identity card number, non-Belgian citizens please use passport number)
Only files with the following extensions may be uploaded: "jpg", "png".
Please upload only photo in jpg or png format and with max. size: 1Mb
Please fill in a personal street name.
Please fill in a personal number/box.
Please fill in a personal postal code.
Please fill in a personal city.
(If not applicable in your country please enter x)
Please fill in a personal country.
Please fill in a personal e-mail address.
After reception of your registration you will receive automatic confirmation by e-mail.
I declare that the information on this form is complete and correct to the best of my knowledge and agree, if registering as a trainee, to abide by all of the Antwerp Maritime Academy regulations. I understand that inaccurate, incomplete or illegible information may affect my enrolment and final certification.
Please check the checkbox if you read the conditions.
Please make sure you passed the captcha test.
Hogere Zeevaartschool Antwerpen Noordkasteel Oost 6, 2030 Antwerpen T +32 (0)3 205 64 30 email@example.com