Please select the executive masterclass you wish to attend

I am registering to

FinTech & Blockchain Masterclass (2019 dates tba)

Blockchain & Smart Contracts Masterclass (2019 dates tba)

PERSONAL DETAILS

Gender

Female

Male

First name

Last name

Official name

Email

Telephone (mobile)

Alumnus UvA

Yes

No

MIF/MBA

Student

Alumnus

If yes, programme and graduation year

Job title

Employer

PE credits

Yes

LinkedIn profile

INVOICE DETAILS

Fee: €1,795

The tuition fee is VAT-free.

Referral

CFA member

CAIA member

Holland Fintech

Hemingway

Please indicate the programme name and graduation year

Please indicate the most recent programme you have attended

Please enter here your CFA membership number

Please indicate here your CAIA membership number

Please indicate here the referral code

I was invited by:

Invoicing details

Personal (I will pay the tuition fee myself.)

Company (my employer will pay the tuition fee.)

Company billing details

Name company/organisation

Invoice reference

Address

Zip code

City

Contact person for invoice

Job title

Email address for invoice

Personal billing address

Street and house number

Zip code

City

SIGNATURE

Terms and Conditions

1. The tuition fee is €1,795 per participant per masterclass. 2. To cancel participation, notice of cancellation must be given by email (executive-education@uva.nl) up to 3 weeks before the course starts. After this date, there will be no refund. 3. If not enough applicants are enrolled for the course, the organiser may decide to postpone or cancel a course up to 2 weeks before the course starts. In case of cancellation by the organiser, the participants will receive a full refund.

I agree to the terms and conditions

Submission date (dd-mm-yyyy)

Signature