Membership application form

Basic information

First name*

Infix

Last name*

Infix (tussenvoegsel) is a common thing in Dutch surnames. It's separated from the rest of the surname to sort your surname with N instead of V if your name is John von Neuman. Leave this field empty if you don't know what to do with this.

Birthdate*

Gender*

Address

Street name + number*

Zipcode*

Place of residence*

Contact

Phone number*

E-mail address*

You will receive a confirmation email with a link. Your application will be processed after you have clicked the link.

Study

Student number*

Study*

Phase*

Starting year*

In which year did you start or are you expecting to start with your study.

Payment

IBAN*

BIC

Only required if your IBAN does not start with 'NL'

I hereby authorize Cover to automatically deduct the membership fee from my bank account one time per year. (mandatory)*

Mailing list

From time to time Cover sends an email about an upcoming activity. If you don't want to receive these emails anymore, you can very easily unsubscribe right here on the website.

I want to receive emails about activities organized by Cover.

We won't spam you and you can unsubscribe at any moment through this website.

The undersigned hereby applies for a membership of Cover, the study association for Artificial Intelligence, Computing Science, and Computational Cognitive Science.

The undersigned hereby agrees to comply with the following requirements during their membership.

The undersigned is required to enter their personal details correctly and to keep them up to date.
- You can update your personal details by sending an email to the secretary at secretary@svcover.nl, or by updating your profile on the Cover website.
The undersigned authorises Cover to charge the annual membership fee from their bank account.
- Membership fees and contributions for other activities will be payed by SEPA direct debit.
- In the case of a wrongful transfer, the undersigned has 30 days to undo the transfer.
- Membership fee will be charged annually from your bank account for as long as you are a member of Cover.
You are a member until you cancel your membership.
- Termination of membership shall be done in writing to the secretary at secretary@svcover.nl.
The membership fee is € 10,- per year.

Intelligence test

What is the colour of grass? (I am not a robot)*

If you are unsure, just enter ‘green’.