Lidmaatschapsformulier // Membership document

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Met dit formulier kun je je inschrijven als lid van Kwadrant, de alumnivereniging van Technische Wiskunde aan de Universiteit Twente.

With this form you can sign up as a member of Kwadrant, the alumni association of Applied Mathematics at the University of Twente.

Titel // Title

Initialen // Initials *

Volledige naam // Full name *

Adres // Address *

Postcode // Zip code *

Stad // City *

Telefoonnummer // Phone number *

Emailadres // Email address *

Geboortedatum // Date of birth *

YYYY

Jaar van behalen Bachelor/Master graad // Year of obtaining Bachelor/Master degree

(Hoogste graad // Highest degree) *

By selecting the box below I authorize Kwadrant to use my information for correspondence regarding activities, news updates and invitations for events. *

Ja, ik ga hiermee akkoord/Yes, I agree

I also wish to share my e-mail address with the Alumni office to be kept up to date about news, activities and events.
*

Ja/Yes

Nee/No

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