admin Wed, 19/02/2014 - 19:00 First Name(s) * As on your ID/Passport Last Name * As on your ID/Passport Swedish social security number/T-number Write down your swedish social security number "1996-05-10-5647" Or if you have a T number "1996-05-10-T391" If you do not have a T-numer or swedish social security number just leave this blank Date of birth * Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year190019011902190319041905190619071908190919101911191219131914191519161917191819191920192119221923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013 Gender * - Select -FemaleMale Street Address * ZIP Code & City * Phone number Nationality * Type of Student - None -Exchange Erasmus studentFree moverInternshipSwedish StudentOther: Type of Student Other: Email * We will not spam you! Terms and conditions * - Select -I Agree By accepting the terms and condition accept ESN Borås will together with ESN Sweden apply for a grant from the National Council of Youth Affairs and would like to use your registered data to verify that you are a member of ESN Borås. This means that your data will be shared with ESN Sweden for this particular purpose. Your data will not be shared with any third party other than ESN Sweden in the process of applying for the grant. Your data will be handled in accordance to the Swedish law on management of personal information - PUL (1998:204 PuL). PUL exists to ensure the safety of your personal integrity in usage and storage of personal information. You have the right to correct the data that has been stored on in your name. You also have the right to get a copy of the information that has been stored in your name. You can at any time decide to delete the data that has been stored in your name. Please send your request to ESN Borås. Your data will be stored for a maximum of 2 years and then deleted from ESN Sweden and ESN Borås storage. I hereby agree that I have read and understood the information given above and that I approve that ESN Borås handle my personal data in accordance to the description given above.