T-vider

First Name*

Last Name*

E-Mail Address*

Date of birth*

Address*

House nr*

Zipcode*

Place of residency*

Phone Number

Is this your first year at DSEA?

Yes, this is my first year
No, I have already been a DSEA member

Student no. (if applicable)

Yes
No, but I am planning to get one
No

LoL
CS:GO
Other
None

Yes
No

League of Legends IGN

SteamID: look it up here! SteamID.io/lookup

Blizzard Battletag and number (Example: Battletag #01234)

DiscordID and number (Example: DiscordID#0123)

Your IBAN (for example NL00 INGB 0000 0000 00)

The BIC code of your bank (for example INGBNL2A, you can find your BIC code by searching "BIC code {bank name}" in Google)

Comments and/or remarks

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