Application form BIM thematic semester Excursion 2024: Split

This excursion is aimed at the students from the Thematic semester Business IT & Management.

PLEASE NOTE:
- By filling in this form you are agreeing to pay the total travel costs of €120.
- Payment is done via a link sent to you by the HvA
- The HvA has a travel insurance for all participating students
- Travel dates differ per destination
- Keep your passport/ID ready when filling in this form. Providing the correct details is your own responsibility.

Velden gemarkeerd met een * zijn verplicht.

Do you have a passport or ID card?

Passport

ID card

First name as in passport / ID-card

Last name as in passport / ID-card

Number of passport / ID-card

Issue date passport / ID-card (dd-mm-jjjj)

Expiry date passport / ID-card (dd-mm-jjjj)

Place of issue passport / ID-card

Date of birth (dd-mm-jjjj)

Place of birth

Nationality

Anders:

Male / Female

Male

Female

Student number

HvA Email address

Mobile phone number

First and last name emergency contact

Relation to emergency contact

Dietary requirements

I agree to the payment of €120,- before 31 January 2024.

A-Z Studenten HBO-ICT

Application form BIM thematic semester Excursion 2024: Split

Bootcamps / BIP's and Summerschool HBO-ICT