This is the application form for ESN CU: Prague Trip which will be from 9 to 11 November 2018.

 

Please entre your City of Residence in home country.
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Please enter your phone number in international format. Example: +421 901 888 666
Please enter your nationality.
Please enter your ID / Passport number.
If you have Schengen Visa, please enter the number. If you are EU/EEA citizen or you do not need Visa leave this field empty.
If you have valid ESNcard you have 3€ discount from trip.
Let us know if you have any allergies or you would like to leave a note.

By pressing Submit I agree to pay the amount of  85 EUR (€) or 88 EUR (€) as a fee for TRIP TO PRAGUE. Billing information will be provided in the confirmation email. I understand that not paying this sum will result in cacncelation of my application. 

Pursuant to Act of the Slovak Republic no. 122/2013 Coll. on personal data protection, as amended, by pressing Submit hereby confirm that the data mentioned above are complete and correct and I agree with their use by ESN CU Bratislava for its internal purposes, especially for communication with me and for promotion of its activities. I also agree that my personal data will be transferred to accomodation provider in Prague according to the Czech law. I take due note of the possibility to withdraw from this agreement in writing. I acknowledge that processing of my personal data is governed by Act of the Slovak Republic no. 122/2013 Coll. on personal data protection, as amended, governing in particular in § 28 et seq. my rights in the field of the personal data protection.