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Registration form Ichtus Antwerpen
We're glad that you're here! In this form you can sign up for our student association.
We won't share this information with third parties. If you have any questions, feel free to email us.
Hope to see you soon!
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* Indicates required question
What is your first and last name?
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Your answer
What is your gender?
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Male
Female
Other
What is your date of birth?
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MM
/
DD
/
YYYY
What is your nationality?
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Your answer
What do you study and at what university?
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Your answer
What is your home address?
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Your answer
Eventually: what is your residence address?
Your answer
What is your e-mail?
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Your answer
What is your phone number?
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Your answer
What workgroup would you like to join? (choose at least one)
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Music group
Party workgroup
Relaxing activities
PR and multimedia (website, pictures, graphic design, flyers)
Required
I like to sport and want to join ASL (Antwerp Students League)
Futsal
Soccer
Volleyball
No I prefer not to sport
What do you like to do and what are your qualities? (for example: gaming, cooking, playing the piano, photographing)
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Your answer
What kind of church do you attend? (for example reformed or baptist church)
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Your answer
Are you in the risc group for Covid-19?
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Your answer
According to the GDPR, we ask your permission for the following.
Yes, I give my permission to Ichtus Antwerpen to store my personal data
Pictures of Ichtus Antwerpen where I'm at may be published on the website, social media etc.
Do you have any questions or suggestions?
Your answer
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