Brussels Trip 2019

The essential form below is needed for both the University and the European Institutions we will be visiting between 9 March to 12 March.

Currently this trip is only available to Level 6 students studying the Law of the European Union.

If you have any questions about this trip please email Ewan.Kirk@bcu.ac.uk or Rohzeena.Janjua@bcu.ac.uk

The deadline for applications is February 27 2020.

Student ID number

Gender

First Name(s) as on passport

Surname as on passport

Date of Birth

Date of Birth - DayDate of Birth - MonthDate of Birth - Year

Nationality

Passport number

Contact number (mobile only)

Any current or past disabilities or infirmities, physical or mental?

Yes

No

If yes, please give details

Do you have any special diet or medication requirements?

Yes

No

If so, please specify

Do you need a VISA if you are not from the UK?

Yes

No

Home Address / Term Address

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Telephone Number

Emergency Contact Home Address

Please state who you would like to share a room with, if you have a preference. Same gender rooms only.

Data Protection

Birmingham City University is committed to safeguarding your personal data. Whenever you provide such information we are legally obliged to use your information in line with all applicable laws concerning the protection of personal information including the General Data Protection Regulation 2018.

View a full copy of our privacy policy

Contacting us about how we use your information

If you have any questions, comments or concerns about how we use or handle your information please contact the Data Protection Officer at: Data Protection Officer, Information Management Team, Birmingham City University, University House, 15 Bartholomew Row, Birmingham B5 5JU, email informationmanagement@bcu.ac.uk or call +44 (0) 121 331 5288.

If you are not content with how we handle your information please contact our Data Protection Officer. However you do also have the right to complain to the Information Commissioner at: Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9 5AF. Information about the Information Commissioner.