ESN Rotterdam Declaration Form

You can use this form to declare costs made for ESN Rotterdam. Please keep in mind that a refund can take up to 2 weeks. Please declare costs at least within 2 weeks after an activity has taken place. If you have any questions you can contact the Treasurer of ESN Rotterdam via [email protected].

Name*
First Last
Email*
Committee/Board*
- Board
- Active Member Committee
- Career Committee
- City Trip Committee
- Content Committee
- Cultural Committee
- Marketing Committee
- Social Committee
- Social Impact Committee
- Sports Committee
- Guide/Volunteer
- Alumni
Bank Account Number*

Please fill in your IBAN bankaccount for example: NL91 ABNA 0417 1643 00
Total amount paid*
Name of Recipient*

(name on the bankcard)
Event description*
Declaration Receipt*
Max. file size: 32 MB.
Consent*
I agree to the privacy policy.
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Burgemeester Oudlaan 50 (room PT-64), P-Building
3062 PA Rotterdam, PO Box 1738, 3000 DR Rotterdam

Office hours: Monday – Friday 12:00-15:00

[email protected]
+31 6 29253172 (WhatsApp only)

Instagram: @esnrotterdam

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