Register to activity

I have read the financial conditions governing my participation in the above-mentioned EJTN activity. Please contact the Exchange Programme team (exchangeprogramme@ejtn.eu) for any question regarding the financial conditions.

Start date

End date

Activity

Host country

First name(s)

Surname(s)

Nationality

Mobile

Function

Institution of origin

Professional address

Office telephone

Arrival date

Departure date

Transport refund type

Indicate “Participant” if travel expenses should be reimbursed to you
Indicate “Institution” if travel expenses should be reimbursed to your institution

Per diem refund type

Indicate “Participant” if per diem expenses should be reimbursed to you
Indicate “Institution” if per diem expenses should be reimbursed to your institution

Participants refund bank details

Participant bank account holder name

Participant bank account iban

Participant bank code

A valid IBAN code is required. IBANs always contain a two-digit state code and do not contain spaces, hyphens or special characters. You may validate your IBAN code at: http://www.ibancalculator.com. (Reimbursements in EUR)

Institution refund bank details

Institution bank account holder name

Institution bank account iban

Institution bank code

Consent for photo recording

I hereby give my consent to EJTN, its affiliates and agents, to photograph and video record the registered activity. EJTN may use such recordings in printed format and/or online platforms without the need to pay any form of compensation.

Additional remarks

I hereby give my consent to sharing the list of participants containing personal information (name, profession, home country, email address) with the participants of the activity concerned.

Register to activity

Participants refund bank details

Institution refund bank details

Your data privacy