Schakel JavaScript in je browser in om dit formulier in te vullen.Schakel JavaScript in je browser in om dit formulier in te vullen.1Climbing abilities2Contact Information3NKBV4Privacy and ConditionsWelcome to the ASAC-Registration Form! Highest achieved climbing certificate * NKBV Indoor TopropeNKBV Indoor VoorklimmenNKBV Outdoor Voorklimmen SinglepitchNKBV Outdoor Voorklimmen MultipitchNKBV Outdoor Voorklimmen TradEnter 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.NextE-mail *Phone Number *Name *VoornaamTussenvoegselAchternaamBirth Date *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Adress *Adres regel 1StadStaat / Provincie / RegioPostcodeCountryAfghanistanAlbaniëAlgerijeAmerikaans SamoaAndorraAngolaAnguillaAntarcticaAntigua en BarbudaArgentiniëArmeniëArubaAustraliëAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiëBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Sint Eustatius en SabaBosnia and HerzegovinaBotswanaBouveteilandBraziliëBritish Indian Ocean TerritoryBrunei DarussalamBulgarijeBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChiliChinaChristmas IslandCocoseilandenColombiaComorenCongoCongo (Democratic Republic of the)CookeilandenCosta RicaCubaCuraçaoCyprusDenemarkenDjiboutiDominicaDominican RepublicDuitslandEcuadorEgypteEl SalvadorEquatorial GuineaEritreaEstlandEswatini (Kingdom of)EthiopiëFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFrankrijkFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGhanaGibraltarGrenadaGriekenlandGroenlandGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHongarijeIJslandIerland (Republiek van)IndiaIndonesiëIrakIran (Islamitische Republiek van)Isle of ManIsraelItaliëIvoorkustJamaicaJapanJerseyJordaniëKaaiman EilandenKazakhstanKeniaKiribatiKosovoKroatiëKuwaitKyrgyzstanLaos (Democratische Volksrepubliek)LesothoLetlandLibanonLiberiaLibiëLiechtensteinLithouwenLuxemburgMacaoMadagascarMalawiMalaysiaMaledivenMaliMaltaMarokkoMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federale Staten van)MoldaviëMonacoMongoliëMontenegroMontserratMozambiqueMyanmarNamibiaNauruNepalNetherlands, TheNew CaledoniaNicaraguaNieuw-ZeelandNigerNigeriaNiueNoord Macedonië (Republiek van)Noord-Korea (Democratische Volksrepubliek)NoorwegenNorfolk IslandNorthern Mariana IslandsOekraineOmanOostenrijkPakistanPalauPalestinaPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolenPortugalPuerto RicoQatarRoemeniëRussische FederatieRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiëSenegalServiëSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SloveniëSlowakijeSoedanSolomon IslandsSomaliaSouth Georgia and the South Sandwich IslandsSouth SudanSpanjeSri LankaSurinameSvalbard en Jan MayenSyrian Arab RepublicTaiwan, Republiek ChinaTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTsjechiëTunesiëTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVaticaanstadVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweZuid AfrikaZuid-Korea (Republiek van)ZwedenZwitserlandÅlandLandAre you a student? *YesI’m doing a PhDNoInstitution *UvAHvAVUOtherWhich 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 1StadStaat / Provincie / RegioPostcodeCountryAfghanistanAlbaniëAlgerijeAmerikaans SamoaAndorraAngolaAnguillaAntarcticaAntigua en BarbudaArgentiniëArmeniëArubaAustraliëAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiëBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Sint Eustatius en SabaBosnia and HerzegovinaBotswanaBouveteilandBraziliëBritish Indian Ocean TerritoryBrunei DarussalamBulgarijeBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChiliChinaChristmas IslandCocoseilandenColombiaComorenCongoCongo (Democratic Republic of the)CookeilandenCosta RicaCubaCuraçaoCyprusDenemarkenDjiboutiDominicaDominican RepublicDuitslandEcuadorEgypteEl SalvadorEquatorial GuineaEritreaEstlandEswatini (Kingdom of)EthiopiëFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFrankrijkFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGhanaGibraltarGrenadaGriekenlandGroenlandGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHongarijeIJslandIerland (Republiek van)IndiaIndonesiëIrakIran (Islamitische Republiek van)Isle of ManIsraelItaliëIvoorkustJamaicaJapanJerseyJordaniëKaaiman EilandenKazakhstanKeniaKiribatiKosovoKroatiëKuwaitKyrgyzstanLaos (Democratische Volksrepubliek)LesothoLetlandLibanonLiberiaLibiëLiechtensteinLithouwenLuxemburgMacaoMadagascarMalawiMalaysiaMaledivenMaliMaltaMarokkoMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federale Staten van)MoldaviëMonacoMongoliëMontenegroMontserratMozambiqueMyanmarNamibiaNauruNepalNetherlands, TheNew CaledoniaNicaraguaNieuw-ZeelandNigerNigeriaNiueNoord Macedonië (Republiek van)Noord-Korea (Democratische Volksrepubliek)NoorwegenNorfolk IslandNorthern Mariana IslandsOekraineOmanOostenrijkPakistanPalauPalestinaPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolenPortugalPuerto RicoQatarRoemeniëRussische FederatieRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiëSenegalServiëSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SloveniëSlowakijeSoedanSolomon IslandsSomaliaSouth Georgia and the South Sandwich IslandsSouth SudanSpanjeSri LankaSurinameSvalbard en Jan MayenSyrian Arab RepublicTaiwan, Republiek ChinaTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTsjechiëTunesiëTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVaticaanstadVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweZuid AfrikaZuid-Korea (Republiek van)ZwedenZwitserlandÅlandLandEmergency Contact Phone Number *Emergency Contact Phone Number 2IBAN *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.PreviousNextAre you NKBV-member? *YesNoThe 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? *YesNoThe NKBV mountain sports insurance is mandatory for ASAC members if you want to go on climbing weekends.PreviousNextI will fill out an incassoform on paper. *AgreePrivacy policy *Ik agreeI do not agree and therefore cannot become a member of the ASACASAC 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?PreviousSend