Please fill out the following information as completely as possible. You will receive further information as the time draws closer to the meetings.

*Required field

Personal Information

Name (as it appears on your passport)*

Gender*

Street and house number*

Postal code*

City*

Country*

Phone*

E-mail address*

Information for Visa

Is a Visa required for you to enter the Netherlands?*YesNo

    If a visa is required, please fill in the fields below as well:

    Your Birth Date (DD/MM/YYYY)

    Country of Passport

    Passport Number

    Passport Issue Date (DD/MM/YYYY)

    Passport Expire Date (DD/MM/YYYY)

Arrival and departure

Arrival date* February 2019
Departure date* February 2019

By* PlaneCarOther

If arriving by plane

Airline-Arrival

Arrival Flight Number

Arrival time (in Amsterdam - Schiphol)



Airline-Departure

Departure Flight Number

Departure time (from Amsterdam - Schiphol)



Accommodation

Do you have a preferred roommate?:YesNo

If so, please indicate his/her name:

Indicate any Special Accommodations: (such as food allergies, vegetarian, special needs, etc.)



Wednesday Outing Choice

Choose which option you would prefer*: Stay at HotelBus trip only (no participation in any other events - ca. 15€ per personBus trip and visit to Rijksmuseum – ca. 30€ per personBus trip and boat-trip (on canal) – ca. 30€ per person

Meeting attendance

Board of Trustees Meeting (by invitation only)*YesNo

All Faculty Meeting (by invitation only)*YesNo

LC Coordinator/Administrator Meeting (by invitation only)*YesNo

CIS faculty meeting (by invitation only)*YesNo

Additional Comments



Data protection and privacy information
From the participants to our Faculty Assembly we collect the following data:
  • Contact data: Name, address, phone, email address, - We need this data to contact you, for further inquiries and information.
  • Additional data: Birthday, Passport information, Travel information, Gender, Special Accommodation

We need this information for organizational reasons as well as to fulfill our duty of care.

This information is processed by us only in accordance with statutory requirements. The processing is based on Article 6 subs. 1 lit. b GDPR. Names will be forwarded to the Conference Hotel. Contact details and additional data are only used internal, not forwarded to third parties and stored in only as long as necessary. Responsible for the data protection is European Nazarene College e.V., Lagerhausstrasse 7-9, 63589 Linsengericht.

I have read and understood the data protection and privacy information. I agree that European Nazarene College e.V., Lagerhausstrasse 7-9, 63589 Linsengericht collects my personal as stated above for the purposes named above and processes them as described. At any time, I have the opportunity to obtain information from European Nazarene College e.V. on the personal data stored about me as well as to request the correction, deletion or restriction. For questions and requests please contact: dpo@eunc.edu.