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Surname

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Phone number (+316123456789)

Date of Birth (dd/mm/yyyy)

Gender
---FemaleMaleOtherPrefer not to say

AIESEC EXPERIENCE

In which year did you start your first AIESEC experience? Please, only state the numbers of the year in which you started. So, 2016-2017 is 2016. *

In which city was this? *
---AmsterdamDelftGroningenLeidenMaastrichtNijmegenRotterdamTilburgTwenteUtrechtWageningenOther

In what position? *
---MCLC full-timeLC part-timeNational Support TeamOther

How did you find AIESEC Alumni NL?
---Instagram Facebook LinkedIn Alumnus AIESEC NL Other

If applicable, in which year did you start your second AIESEC experience? Please, only state the year in which you started. So, 2016-2017 is 2016.

In which city was this?
---AmsterdamDelftGroningenLeidenMaastrichtNijmegenRotterdamTilburgTwenteUtrechtWageningenOther

In what position?
---MCLC full-timeLC part-timeNational Support TeamOther

If applicable, please tell us about any other experiences. e.g. 3rd year, LC/MC abroad, RAVA/BoD, ambassador etc.

PROFESSIONAL LIFE

If you'd like to: please paste the link to your personal Linked-In web page.

MEMBERSHIP

AIESEC Alumni Membership (€ 10,00 per year)

Amount *
€

Payment method *
iDEAL
I hereby give authorization to collect the recurring amount from my account periodically.

I permit the Alumni Association of AIESEC in the Netherlands (A.I.E.S.E.C. Alumni Vereniging | KVK number: 40346769) to use and store my data per the association's privacy statement (https://www.aiesecalumni.nl/privacy-policy/). *

I agree to the terms and authorize the Alumni Association of AIESEC in the Netherlands (A.I.E.S.E.C. Alumni Vereniging | KVK number: 40346769) to withdraw the annual amount of €10 from my bank account until I cancel my membership in writing to info@aiesecalumni.nl.

I want to receive the Alumni Association (max. quarterly) newsletter. (We promise not to spam!)

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