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Personal Data

First name

Prefix

Surname

Initials

E-mail address

Password

Repeat password

Adress

Postal code

City

Country

Mobile phone number

Gender

Date of birth --

I am interested in an active membership

Student Number

Study

Starting year of study

International student

Pre-master student

Receive information about recruitment activities

Receive monthly Sefa newsletter

I would like to receive text messages about Sefa activities

Foreign bankaccount?*

Bankaccount number

Bankaccount holder

Bank location

Yes, I authorize Sefa to collect € 10,- per year from the account above

*To activate your membership with a foreign bankaccount, please go to the Sefa Store E0.16 to complete the membership fee