Inschrijfformulier Expert class Type design

Expert class Type design

To be com­ple­ted and mai­led not later than 7 November 2012 to plantin.instituut[at]stad.antwerpen.be.
(of cou­rse, when com­ple­ted and sent online this is done automatically!)

Personal details

City

GSM

Place of birth

Course(s) pas­sed

- state most recent cou­rse first

1.

2.

3.

Outline of your career

- state most recent employ­ment first

1.

2.

3.

Knowledge of Dutch

wri­ting / oral / comprehension (%)

Knowledge of English

wri­ting / oral / comprehension (%)

Knowledge of French

wri­ting / oral / comprehension (%)

Knowledge of German

wri­ting / oral / comprehension (%)

Social acti­vi­ties or interests

How did you hear about this trai­ning course?

Motivation for enrol­ling for the course

The under­sig­ned has paid the regi­s­tra­tion fee in full

I pay to bank account num­ber (IBANcode) the amount of
€ 1200

The under­sig­ned requests a redu­ced regi­s­tra­tion fee

€ 850 gra­du­a­ted since 1 year or later from a poly­tech­nic or equi­va­lent insti­tute
gra­du­a­ted on date
enclo­sing the neces­sary docu­men­tary evi­dence

€ 700 stu­dents and gra­du­a­tes from the Plantin Institute of Typography
is a stu­dent from the Plantin Institute of Typography
or
is a gra­du­ate stu­dent from the Plantin Institute of Typography,
ple­ase state gra­du­a­tion day
cycle:

I pay the amount of

to ‘Kredietbank’ bank account
IBAN: BE04 4098 5623 7131 / BIC: KREDBEBB
in favour of
Plantin Institute of Typography / Expert class (Type design)

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