Full name *

ID/Student/Employer/Passport Card Number *

Postal address*

Mobile/App/Phone number *

Email *

Name employer or institution

Your position in the institution

Address (institution)

Phone (institution)

I(we) would like to request climatologcal/hydrological/hydraulic data/water quality data from your institution.

I(we) will use this data for the purpose of*
Education (development of course material)Project work/assignments (only for students and lecturers)Student thesis research (only for students and lecturers)Research work (only for educational institutes and students/lecturers)Research work (only for governmental, semi governmental and private institutions)Engineering projects (only for governmental, semi governmental and private institutions)Other......

I(we) will use this data for the following purposes (explain in detail and/or attached the project proposal)

In case you have a project proposal, upload this file also
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Data resources

Note: if the requested information is the same for all stations, you only have to sent one application form. In case you want to request information of more than one station with different information’s, you will need to sent several requests.

Station name
BraamspuntMarowijne riverNieuw AmsterdamSuriname riverMASSuriname riverVisserijsteiger NickerieNickerie riverDomburgSuriname river

Hydrologicalvariable and type of data
Tidal water levels (10 minutes)

Additional Information
Specify anything else required to fulfill this data request.

I (we) agree not to distribute this data to other persons/institutionsI (we) agree to sent your institution a digital or hardcopy of the produced reports/analysis of this data when finished.