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Group
When selecting the groups, please make sure that you will be able to participate. We cannot change your group after you have been selected.
Contact information
Please indicate your name as indicated in your passport
Please indicate your last name as indicated in your passport
Please note that you must be resident in the Netherlands.
Please confirm by entering your Email address twice.
Inclusion
Professional Information
Please give your official Job Title
Exchange Programme
Participant Agreement for the Multidisciplinary Training Please review the agreement thoroughly, as your acknowledgment is mandatory to confirm your participation in the programme: see Policy Enforcement and Cancellation Policy
Participant Agreement for the Multidisciplinary training programme If selected, you will be asked to fil in a second registration form, the so-called modification page, within a week.
Survey on communication channel Please answer this question to help us analzying our communication channels
Important information

This form constitutes the initial stage of the application process and is not the final registration for the event. You will be notified of the outcome via email within 2 weeks after the registration closes. If selected, you will be required to complete a second registration form to provide detailed information such as your preferred mode of travel, bank details, and any specific requirements you may have.


Dit formulier vormt de eerste fase van het aanvraagproces en is niet de definitieve registratie voor het evenement. U ontvangt binnen 2 weken na sluiting van de registratie per e-mail bericht over de uitslag. Indien geselecteerd, dient u een tweede registratieformulier in te vullen met gedetailleerde informatie zoals uw voorkeursreismethode, bankgegevens en eventuele specifieke wensen.


Registration fees

Your stay

Registration summary
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