Youth Exchange_DIVA vol. 2
Registration form - 15-26/06/2018
Name *
As witten in your ID or passport.
Your answer
Surname *
As written in your ID or passport.
Your answer
Name you want to be called during the TC
Your answer
E-mail *
Your answer
Gender *
Nationality *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Full home address (address, post code, city, country) *
Your answer
Telephone number *
With country code (eg. 0030)
Your answer
Facebook account (For communicating with the group during the training) *
Your answer
Special needs or requirements, allergies or food preferences *
Your answer
Why do you want to take part in this project? What is your motivation? *
Your answer
Leader or participant *
Anything else you would like to say?
Your answer
Declaration
Please take note of the following conditions that apply to selected participants of this youth exchange and confirm your consent:

1. I commit myself to participate in the whole process, including:

• to prepare myself carefully for the training course and to do all remote preparation work the team will ask for,
• to take part in the full duration of the project,
• to participate in the whole evaluation process.

2. I am aware that obtaining a health and a full travel insurance are my own responsibility and at my own expenses, in case I am willing to. I understand that the information I provided on my special needs does not remove my own personal responsibility for ensuring my own health.

3. I authorise the European Commission, the National Agency of Erasmus+ Youth in Greece and United Societies of Balkans (U.S.B.) to publish, in whatever form and by whatever medium, including the Internet, pictures or other materials that might be produced during the project. (in case I have any objections, I will inform the organisation accordingly)

4. I authorise United Societies of Balkans to receive my personal data and process them for the implementation and reporting of the project according to the rules of the Erasmus+ programme and the Regulation (EU) 2016/679. My personal data will be kept in encrypted way in the premises of the organisation and shall not be transmitted without my consent elsewhere.

5. I am aware about the participation fee of 30 euro and I am willing to pay either in cash during the project, either to be deducted from my travel reimbursement.

I give my consent and agree with the declaration *
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