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Amsterdamse Studenten Alpen Club » Registration outside RETRO
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1
Climbing abilities
2
Contact Information
3
NKBV
4
Privacy and Conditions
Welcome to the ASAC-Registration Form!
Highest achieved climbing certificate
*
NKBV Indoor Toprope
NKBV Indoor Voorklimmen
NKBV Outdoor Voorklimmen Singlepitch
NKBV Outdoor Voorklimmen Multipitch
NKBV Outdoor Voorklimmen Trad
Enter here the highest climbing status that you currently possess and can prove. This does not concern skills for which you have not (yet) received a certificate/signature.
Climbing Certificate
*
Drag & Drop Files,
Choose Files to Upload
Upload here the climbing status certificate you completed above. The Education Committee will check this.
Next
E-mail
*
Phone Number
*
Name
*
Voornaam
Tussenvoegsel
Achternaam
Birth Date
*
DD
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YYYY
2027
2026
2025
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2019
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1928
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1926
1925
1924
1923
1922
1921
1920
Adress
*
Adres regel 1
Stad
Staat / Provincie / Regio
Postcode
Country
Afghanistan
Albanië
Algerije
Amerikaans Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua en Barbuda
Argentinië
Armenië
Aruba
Australië
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
België
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Sint Eustatius en Saba
Bosnia and Herzegovina
Botswana
Bouveteiland
Brazilië
British Indian Ocean Territory
Brunei Darussalam
Bulgarije
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chili
China
Christmas Island
Cocoseilanden
Colombia
Comoren
Congo
Congo (Democratic Republic of the)
Cookeilanden
Costa Rica
Cuba
Curaçao
Cyprus
Denemarken
Djibouti
Dominica
Dominican Republic
Duitsland
Ecuador
Egypte
El Salvador
Equatorial Guinea
Eritrea
Estland
Eswatini (Kingdom of)
Ethiopië
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
Frankrijk
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Ghana
Gibraltar
Grenada
Griekenland
Groenland
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hongarije
IJsland
Ierland (Republiek van)
India
Indonesië
Irak
Iran (Islamitische Republiek van)
Isle of Man
Israel
Italië
Ivoorkust
Jamaica
Japan
Jersey
Jordanië
Kaaiman Eilanden
Kazakhstan
Kenia
Kiribati
Kosovo
Kroatië
Kuwait
Kyrgyzstan
Laos (Democratische Volksrepubliek)
Lesotho
Letland
Libanon
Liberia
Libië
Liechtenstein
Lithouwen
Luxemburg
Macao
Madagascar
Malawi
Malaysia
Malediven
Mali
Malta
Marokko
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federale Staten van)
Moldavië
Monaco
Mongolië
Montenegro
Montserrat
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands, The
New Caledonia
Nicaragua
Nieuw-Zeeland
Niger
Nigeria
Niue
Noord Macedonië (Republiek van)
Noord-Korea (Democratische Volksrepubliek)
Noorwegen
Norfolk Island
Northern Mariana Islands
Oekraine
Oman
Oostenrijk
Pakistan
Palau
Palestina
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Polen
Portugal
Puerto Rico
Qatar
Roemenië
Russische Federatie
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabië
Senegal
Servië
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovenië
Slowakije
Soedan
Solomon Islands
Somalia
South Georgia and the South Sandwich Islands
South Sudan
Spanje
Sri Lanka
Suriname
Svalbard en Jan Mayen
Syrian Arab Republic
Taiwan, Republiek China
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tsjechië
Tunesië
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vaticaanstad
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Zuid Afrika
Zuid-Korea (Republiek van)
Zweden
Zwitserland
Åland
Land
Are you a student?
*
Yes
I’m doing a PhD
No
Institution
*
UvA
HvA
VU
Other
Which institution?
*
Student Number
*
Emergency Contact Name
*
Climbing is a risky sport. As an association, we would like to have a name and address of a loved one to contact if something happens.
Emergency Contact Relation to Climber
*
Emergency Contact Adress
*
Adres regel 1
Stad
Staat / Provincie / Regio
Postcode
Country
Afghanistan
Albanië
Algerije
Amerikaans Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua en Barbuda
Argentinië
Armenië
Aruba
Australië
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
België
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Sint Eustatius en Saba
Bosnia and Herzegovina
Botswana
Bouveteiland
Brazilië
British Indian Ocean Territory
Brunei Darussalam
Bulgarije
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chili
China
Christmas Island
Cocoseilanden
Colombia
Comoren
Congo
Congo (Democratic Republic of the)
Cookeilanden
Costa Rica
Cuba
Curaçao
Cyprus
Denemarken
Djibouti
Dominica
Dominican Republic
Duitsland
Ecuador
Egypte
El Salvador
Equatorial Guinea
Eritrea
Estland
Eswatini (Kingdom of)
Ethiopië
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
Frankrijk
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Ghana
Gibraltar
Grenada
Griekenland
Groenland
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hongarije
IJsland
Ierland (Republiek van)
India
Indonesië
Irak
Iran (Islamitische Republiek van)
Isle of Man
Israel
Italië
Ivoorkust
Jamaica
Japan
Jersey
Jordanië
Kaaiman Eilanden
Kazakhstan
Kenia
Kiribati
Kosovo
Kroatië
Kuwait
Kyrgyzstan
Laos (Democratische Volksrepubliek)
Lesotho
Letland
Libanon
Liberia
Libië
Liechtenstein
Lithouwen
Luxemburg
Macao
Madagascar
Malawi
Malaysia
Malediven
Mali
Malta
Marokko
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federale Staten van)
Moldavië
Monaco
Mongolië
Montenegro
Montserrat
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands, The
New Caledonia
Nicaragua
Nieuw-Zeeland
Niger
Nigeria
Niue
Noord Macedonië (Republiek van)
Noord-Korea (Democratische Volksrepubliek)
Noorwegen
Norfolk Island
Northern Mariana Islands
Oekraine
Oman
Oostenrijk
Pakistan
Palau
Palestina
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Polen
Portugal
Puerto Rico
Qatar
Roemenië
Russische Federatie
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabië
Senegal
Servië
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovenië
Slowakije
Soedan
Solomon Islands
Somalia
South Georgia and the South Sandwich Islands
South Sudan
Spanje
Sri Lanka
Suriname
Svalbard en Jan Mayen
Syrian Arab Republic
Taiwan, Republiek China
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tsjechië
Tunesië
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vaticaanstad
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Zuid Afrika
Zuid-Korea (Republiek van)
Zweden
Zwitserland
Åland
Land
Emergency Contact Phone Number
*
Emergency Contact Phone Number 2
IBAN
*
The ASAC can only automatically debit money if you give written permission for this in the form of a collection form. After sending this form, the treasurer will contact you about this.
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Are you NKBV-member?
*
Yes
No
The NKBV is the Dutch Climbing and Mountaineering Association. You need NKBV membership to be able to take out NKBV travel insurance and a climbing annual card for the climbing areas in Belgium. The NKBV Mountain Sports Insurance is mandatory if you want to participate in a climbing weekend. More information about this can be found on the NKBV website, or ask someone from the board. You must arrange registration with the NKBV yourself, as well as take out the NKBV Mountain Sports Insurance.
What is your NKBV-member number?
*
Do you have the NKBV mountaineering insurance?
*
Yes
No
The NKBV mountain sports insurance is mandatory for ASAC members if you want to go on climbing weekends.
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I will fill out an incassoform on paper.
*
Agree
Privacy policy
*
Ik agree
I do not agree and therefore cannot become a member of the ASAC
ASAC attaches great importance to the protection of your personal data. In this Privacy Policy we want to provide clear and transparent information about how we handle personal data. We make every effort to guarantee your privacy and therefore handle personal data with care. ASAC adheres to applicable laws and regulations in all cases, including the General Data Protection Regulation. This entails that we at least: 1) Process your personal data in accordance with the purpose for which it was provided, these goals and type of personal data are described in this Privacy Policy; 2) Limit the processing of your personal data to only those data that are minimally required for the purposes for which they are processed; 3) Ask for your express consent if we need it for the processing of your personal data; 4) Have taken appropriate technical and organizational measures to ensure the security of your personal data; 5) Do not transmit personal data to other parties, unless this is necessary for carrying out the purposes for which they were provided; 6) Are aware of your rights regarding your personal data, to point this out and to respect them. As ASAC we are responsible for the processing of your personal data. If, after reading our Privacy Policy, or in a more general sense, you have questions about this or want to contact us, you can do this via the contact details at the bottom of this document. *PROVISION TO THIRD PARTIES* The information that you provide to us may be provided to third parties if this is necessary for the purpose for which they were provided. We never pass on personal data to other parties with whom we have not entered into a processor agreement. With these parties (processors), we of course make the necessary arrangements to ensure the security of your personal data. Furthermore, we will not provide the information provided by you to other parties, unless this is legally required and permitted. We may send you your data to check if it is still accurate. To make sure this happens safely, you are responsible for the security of your own mail account. *RETENTION PERIOD* The ASAC does not store personal data longer than necessary for the purpose for which it was provided or required by law. *SECURITY* We have taken appropriate technical and organizational measures to protect your personal data against unlawful processing. Rights concerning your data You have the right to inspect, rectify or delete the personal data we have received from you. You can also object to the processing of your personal data (or a part thereof) by us or by one of our processors. You also have the right to have the information provided by you transferred by us to yourself or by order of you directly to another party. We can ask you to identify yourself before we can respond to the aforementioned requests. If we process your personal data on the basis of an authorization given by you, you always have the right to withdraw this permission. *COMPLAINTS* If you have a complaint about the processing of your personal data, we ask you to contact us directly. If we do not come together with you then we find this very annoying. You always have the right to file a complaint with the Dutch Data Protection Authority, this is the supervisory authority in the field of privacy protection. *QUESTIONS* If you have any questions or comments about our Privacy Statement, please contact us! *CONTACTINFORMATION* The Amsterdamse Studenten Alpen Club, Science Park 306, 1098 XH, Amsterdam.
Other questions or remarks?
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