Student Membership

To become a student member of the NVBMB, please fill out the form below.

You will receive an activation-email from ledenadministratie@kncv.nl, click the link to confirm your mailadress.

Abonnementstype

NVBMB Student membership

Personal information

Gender*

Titel(s) voor uw naam

Initials of your first name(s)*

First name*

Prefix

(e.g. van der)

Surname*

Titel(s) achter uw naam

Date of birth*

Date of birth is required for registration as new member in the administration. If you are under 18 years of age, permission from a parent or guardian is required.

Contact information

Home Address*

Only private address (no company or university address)

ZIP codeNumberAddition

StreetTownCountry

Email address*

Telephone number*

(06-xxxxxxxx)

Study data (if applicable)

Education level*

Institute of Higher Education / University*

Start date

Student Association*

Payment method

Choose your method*

Payment via direct debit
Payment via invoice

Accept direct debit agreement

IBAN

BIC

Password*

Only passwords that are at least "Strong" are allowed

To confirm your password, please retype it below.

Statement of agreement

I attest to the accuracy of the information on the application. I understand that membership dues are payable annually unless my signed resignation is received by the administration of the society before December 1st.*